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HomeMy WebLinkAbout2004-03-16-6:30PM-RegularBRAZOSCOUNTY BRYAN, TEXAS NOTICE OF MEETING AND AGENDA W-191 (2 P (2. 3 b T = CLERK DEPUTY BRAZOS COUNTY COMMISSIONERS COURT THE COM ISSIONERS COURT OF BRAZOS COUNTY WILL MEET IN REGULAR SESSION O 16 MARCH 2004 AT 6:30 P.M. IN ROOM 102 OF THE BRAZOS CENTER, 3232 BRIARCRE T DRIVE, BRYAN, TEXAS. 1. Invoc4tion and Pledge of Allegiance - Commissioner Cauley 2. Call fox citizen's input and/or concerns. Consider an take action on agenda items 3 -18 3. Budg Amendment 03/04-21.1 thru 03/04-21.2. 4. Perso el Change of Status. 5. Paym 'ot of Claims. 6. Appr al of Brazos County Proclamation 04-006 establishing 14-20 March 2004 as National Agric e Week in Texas - a time to celebrate the state's farmers and ranchers and to ackno `ledge this far-reaching industry that adds $73 billion to the Texas economy annually. 7. Reque~g by the Auditor's Office for approval of the 2004 Title IV-E Foster Care Maintenance 8. Requ by the Sheriff's Office for approval of the institution of a Retired Peace Officer Progr , allowing members of the Brazos County Sheriff's Office who have retired and are in good 'tending to carry certification as a retired peace officer as provided by Senate Bill 117. 9. Requ by the Sheriff's Office for authorization to assess a $50.00 fee for a two-year cce i ation of proficiency for those retired peace officers who wish to participate in the propod Retired Peace Officer Program, and meet the qualifications. VOL S_3 PAGE ]9a- Commissioners Court Agenda 16 March 2004 Page 2 10. Reque9t by I.T. for approval to purchase five additional licenses for the LexisNexis On-Line subscription service for fiscal year 2004. These will allow additional Judges, Justices of the Peace and Prosecutors to use this service for legal research. 11. Reque by I.T. for approval to change the following job title and description: Fm: Class 1216 Position 1 Imaging Administrator / Record Management T : Class 1216 Position 1 Senior Systems Analyst 12. Appr#al of Tax Resale Deed in the amount of $4,500.00 paid by Mikel Stephens. 13. Requ by Joe LaBarbera, RC&D Coordinator, for approval of out of state travel for Walter Wilco' to attend the Southwest States RC&D Annual Conference in Oklahoma City, OK where he wil be a voting delegate. 14. Appr+al of Tax Refund Applications for the following: 1. Roger L. Adams 2. Travis Adams 3. Faith Allen c/o Faith Wallace 4. Richard & Monica F. Alvarez 5. Trina Askew & Aaron Thompson, Jr. 6. Birdwell Family Limited Partnership 7. Karolyn Bracci 8. Brazos Valley Nursery 9. Central Texas Endoscopy Center 10 I Rosalie S. Cotropia 11 Stanley D. & Elizabeth S. Determan 12 Dolphin Capital Corp. 13 Duane E. Dubois 14 ],Elliott Construction Inc., Scott Elliott 15 Elliott Electric Supply 16 Edward Froehling 17, Gaas Tool & Die Co., Milton Gaas 18. lames B. Good & Tana M. McCoy-Good 19 James G. and Marilyn J. Hooton 20 Arteka Johnson 21 Ann S. Karkoska 22 KCIA Properties, LTD. 23 Rieschnick Construction 24. Sheri Ruth Kohutek & Majorie S. Keele 25 Lawrence & Jeanne Kubacak C/o Kubacek, Inc. 26 John F. Jr. & Karen D. Levens 27 l Eric Lindgren 28 Charles J. & Elfriede A. Massey 29 Petshop / Some Thing Fishy, Inc. 30. MR Plant Nursery, Dr. C. A. Ernst 31. Wilfred Rust 32. David & Mellina Shellenberger 33. Alfred C. & Patricia A. Smith 34. Herman L. & Frances Elizabeth Smith 35. Christopher Spears 36. Robin Lee Templeton 37. Viola Toliver Estate c/o Vanee Robinson 38. Mary Turner & Wanda Goss Etal c/o James Hargrave 39. Gary & Diane Vick 40. Zijun Wang & Yiqing Yang 41. Lesley V. & Mary Ruth Williams 42. Casendra L. & Troy Shane Woodward 43. Cindy Wymola 44. Humberto & Elisa Zamora 45. 7711 Corporation 46. Almanza Concrete, Inc., Tony Almanza 47. Arthritis & Osteoporosis Clinic of the Brazos Valley, Ricardo Pocurull, MD, PA 48. Dennis L. Bell 49. Centex TV College Station KRHD 50. J. Roland & Karen K. Cole (2) 51. James W. & Ralene Dale 52. Marvin & Cynthia Schoeneman 53. Goen, Grace E. Testamentary Trust, c/o Oliver F. Goen Trustee 54. Jan W. Gann 55. Katy & Jim Greenwood 56. Wenda Jill & Jay L. Hall 57. Heartland Resources Inc. c/o Joe Shepperd 58. HM College Station L.P. Marriott Int'l L.P. Dept. 938.01 #5AQ 59. Inco Oil Corporation 11(0L .53 PAGE 3 Commissioners Court Agenda 16 March 2004 Page 3 14. (cont' ) 60 Betty M. Krohn 61, Lowe's Home Center Inc., #103 62 (Gregory D. Potter 63 Rainbow Garden Center, Debra Russell 64 Antonin & Helga A. Sebesta 65 Willie & Ollie Taylor 66. Thornton, Payne, Watson & Kling, PC 67. Wayne Duddleston LTD (9) 68. Marina M. Wells 69. Davel Communications Inc. North Point Tower 70. Brian K. & Tarai A. McNelly c/o Green Tree Financial 15. Reque t by Purchasing to purchase an 800 MHZ communication system for the following: a. Constable, Pct. 1 b. Constable, Pct. 2 c. Constable, Pct. 3 d. Constable, Pct. 4 e. County Attorney 16. Reque 't by Purchasing to advertise for proposals for RFP #2004-024, Outside Auditor. 17. Reque# from Wickson Creek Special Utility District to construct two (2) road bores in the right of wa of Wheelock Hall Road for water line installation. Site is located in Precinct 2. 18. Reque from Verizon Communications to construct buried cable installations six (6) feet in the north of way of Butte Drive beginning at its intersection with Cheyenne Drive and extend g east for a distance of 528 feet. Site is located in Precinct 1. 19. Ackno ledgement of the 2003 Racial Profiling Statistics Report for Wayne Thompson, Const 'le for Precinct 3, submitted in compliance with the reporting requirement of the Texas Racial rofilinR Law. 20. Announcement of interest items and possible future agenda topics. 21. Call fo ;citizen input and/or concerns. 22. Agenc / Board / Committee reports by Court members. 23. Adj The Brazos CountyCourthouse is wheelchair accessible. Handicap parking spaces are available. Any request for sign interpretive services must be made two siness days before the meeting. To make arrangements, call (979) 361-4102. VOL 53 PAGE 1 q ~ COMMISSIONERS' COURT REGULAR MEETING MARCH 16, 2004 A regular meeting of the Commissioners' Court of Brazos C~'unty, Texas was held in the Brazos Center in Bryan, Brazos C j,,t nty, Texas, beginning at 6:30 p.m. on Tuesday, March 16, 2 'd4 with the following members of the Court present: Randy Sims, County Judge, Presiding; Eric Caldwell, Commissioner of Precinct l; Duane Peters, Commissioner of Precinct 2; Kenny Mallard, Commissioner of Precinct 3; Carey Cauley, Jr., Commissioner of Precinct 4; Karen McQueen, County Clerk. The attached sheet contains the names of the citizens and officials that were in attendance. Commissioner Cauley gave the invocation and led the pl dge of allegiance. Under citizen input/and or concerns, the following spoke: Charlotte Pool - Came to speak on behalf of her parents Otis and Eloise Wooten and several other family members that own land in Brazos County. They are concerned about work being done to improve Rabbit Lane. The feel they were left out of early planning and would like the County Engineer to take another look at the plans and where the land is being acquired. All property seems to be taken from one side of the road and this is greatly affecting the family. Wouldn't it be better to take land from both sides of the road? Thinks the process lacked respect for the landowners because the county did not visit to say they were looking into acquiring land and feels like it says they lack the intelligence to be part of the planning. VOL 63 PAGE t 9 s Co ssioners Court meeting March 16, 2004 2 Eloise Wooten - lives in Crockett, Texas and owns property on Rabbit Lane. She explained the process and contact she received from Linda Muegge on acquiring the land. She said it looks like if you're going to do this, you would contact the parties involved. She thinks the process was done haphazardly and unfairly. The Court next considered Budget Amendment #03/04-21.1 th pugh 21.2, that would reverse budget amendment #03/04-11.3 an ''transfer funds from Contingency to the Commissioners Court bu get to pay for architectural fees. On motion by Co issioner Peters, seconded by Commissioner Caldwell, the Cc ~rt voted unanimously to approve the budget amendment as su itted, a copy of which is attached. The Court proceeded to consider the change of status of employees as submitted on the attached Personnel Action Re pests. On motion by Commissioner Cauley, seconded by Coll issioner Peters, the Court voted unanimously to approve th 'changes as submitted. The Court next considered the following Claims as su itted by the County Treasurer for payment: 20050865 through 20051102 O* motion by Commissioner Peters, seconded by Commissioner Mallard, the Court voted unanimously to approve the Claims wi'h the exception of claim #20050979 in the amount $3 ,400.00. The County Judge read aloud Proclamation #04-006 V PL ~3 PAGE 19 (a ission Court meeting March 16, 2004 3 de #gnating the week of March 14 through 20, 2004 as "National Ag culture Week". The Court joins with the State Agriculture Commissioner to honor the agricultural community. On motion by ',Commissioner Cauley, seconded by Commissioner Peters the Cot t moved to proclaim the week of March 14 through 20, 2004 as"'National Agriculture Week" throughout Brazos County. The Court next considered a request by the Auditor's of ace for approval of the 2004 Title IV-E Foster Care Ma ntenance Contract. This contract is funding that re tnburses the county for qualifying expenses for children in th 1l foster care program. On motion by Commissioner Peters, se onded by Commissioner Cauley, the Court voted unanimously to 'approve the contract and authorized the County Judge to ex'cute the document. A copy is attached. The next matter before the Court was a request by the Sh',riff's Office for approval of the institution of a Retired Pe ce Officer Program, allowing members of the Brazos County Sh'riff's office who have retired and are in good standing to carry certification as a retired peace officer as provided by Senate Bill 117. On motion by Commissioner Peters, seconded by Commissioner Mallard, the Court voted unanimously to ap rove the request. The Court next considered a second request by the L 5 3 PAGE l q 7 ione s' Court meeting March 16, 2004 4 Sh t'iff's Office to authorize a $50.00 fee to be assessed for a ';year certification for those retired peace officers that me t the qualifications. On motion by Commissioner Cauley, seconded by Commissioner Peters, the Court voted unanimously to 'approve the request. The Court next considered a request by the Information Te hnology Department for approval to purchase five (5) additional licenses for the LexisNexis On-Line Subscription Se ice for fiscal year 2004. Cost for the additional licenses is I$700.00. On motion by Commissioner Cauley, seconded by Co' issioner Caldwell, the Court voted unanimously to approve th, request. The next matter before the Court was a request by the Information Technology Department for approval to change the following job title and description: From: Class 1216 Position 1 Imaging Administrator/ Record Management To: Class 1216 Position 1 Senior Systems Analyst T request does not change funding for the position. On motion by Commissioner Cauley, seconded by Commissioner Peters, the Court voted unanimously to approve the request. On motion by Commissioner Peters, seconded by C missioner Mallard, the Court voted unanimously to authorize t 'G County Judge to execute a Tax Resale Deed to the following OL 53 PAGE I i s' Court meeting March 16, 2004 vidual: 5 Mikel Stephens - Lot 6, Block 17, Margaret Wallace Addition and a Mobil Home, City of Bryan, Brazos County, Texas. The next matter for consideration by the Court was a request submitted by the RC&D Coordinator seeking approval for ou of state travel for Walter Wilcox to travel to Oklahoma Ci',~r, Oklahoma to attend the Southwest States RC&D annual co Terence March 21-24, 2004. On motion by Commissioner Ca ley, seconded by Commissioner Peters, the Court voted unanimously to grant the request from the RC&D Coordinator and ap roved payment of out of state travel expense for Walter Wi cox. The next matter for consideration was approval of the at ached tax refund applications. Commissioner Cauley moved to approve. Commissioner Peters seconded the motion. After some di'cussion, Commissioners Cauley and Peters amended their motion and second to include the note that #67 had two a 'lications. The Court voted unanimously to approve all the taix refund applications. Copies are attached. The Court next considered a request by the Purchasing Department to purchase an 800 MHZ communication system for the f flowing offices: a. Constable, Precinct 1 b. Constable, Precinct 2 7L 53 PAGE 199 ione' Court meeting March 16, 2004 6 c. Constable, Precinct 3 d. Constable, Precinct 4 e. County Attorney Commissioner Cauley moved to approve all. Commissioner Peters seconded the motion. Commissioner Caldwell, Peters, Mallard an Cauley voted "Aye". The County Judge voted "Nay". The mo' on carried. The County Judge said he was not in favor of this because of encryption. The next matter for consideration was approval for the Pu Chasing Agent to advertise for proposals for RFP# 2004-024, Outside Auditor. On motion by Commissioner Peters, seconded by ,Commissioner Caldwell, the Court voted unanimously to au ~iorize the Purchasing Agent to advertise for proposals for an'outside auditor. The Court next considered the request from Wickson Creek Special Utility District to construct two (2) road bores for wa'erline installation in the right-of-way of Wheelock Hall Road. The site is located in Precinct 2. The County Engineer stated that all appeared to be in order and recommended approval. On motion by Commissioner Peters, seconded by C 'missioner Cauley, the Court voted unanimously to approve the request from Wickson Creek Special Utility District and authorized the installation. A copy of the request is attached hereto. L 63 PAGE 9-00 issione Court meeting March 16, 2004 7 The Court next considered the request from Verizon to co'$truct a road bore for buried cable installations 6 feet in th' north right-of-way of Butte Drive beginning at its in'ersection with Cheyenne Drive and extending east for a diltance of 528 feet. The site is located in Precinct 1. Ri hard Vance, County Engineer, stated that he had reviewed therequest and offered the following exception: The proposed cable is to be installed in a very old subdivision with no utility easements; therefore, cable placement will be in the back slope of the road right-of-way. OnlImotion by Commissioner Caldwell, seconded by Commissioner Peters, the Court voted unanimously to approve the request by Ve zon and authorized the installation subject to compliance w4h the exception noted by the County Engineer. A copy of th' request is attached hereto. The Court acknowledged receipt of the 2003 racial Profiling Statistics Report for Wayne Thompson, Constable for Precinct 3, submitted in compliance with the reporting requirement of the Texas Racial Profiling Law. There were no announcements of interest items and po,sible future agenda topics. Under citizen input and/or concerns, the following s oke: 2t) I t Court meeting March 16, 2004 $ Otis Wooten - retired Commissioner of Houston County now living in Crockett Texas said he would like the court to consider re-evaluation of Rabbit Lane for the Williams family as discussed earlier. Under Agency/Board/Committee reports by Court members, ,following spoke: Commissioner Mallard Attended an Intergovernmental meeting this week in which they discussed the special legislative session. The Legislature is discussing possible caps on tax increases. He is talking with the State about them adhering to the same caps they want the counties to. There being no further business to come before the rt, the meeting was adjourned. L 53 PAGE -,2a T'e foregoing minutes of the Commissioners Court meeting held M Ich 16, 2004 have been examined and are approved in open Court this the 3rd day of ~ S 2004, in Bryan, B '',azos County, Texas. Ra~l~dy Aims Cd'Uryt/y Judge Duane Peter~J Co issioner, Precinct 2 ca ey r uTey, Jr . Co is oner, Pre inc 4. At,'est : Ka. Co Oen McQueen znty Clerk V"DL 53 PAGE X03 Eric Caldwell Commissioner, Precinct 1 Kenny Mall Commissione , Precinct 3 BRAZO COUNTY COMMISSIONERS COURT '3v A MEETIN ON Ccc ~/b 200 AT Name Organization/Department 6,A1 d/1 3 ,4 Ai 4 4 7 1-- 1 T' - rah; $3 PAI^) -a04 # 3 BRAZOS COUNTY, TEXAS BUDGET AMENDMENT(S) FOR THE 2003-2004 BUDGET YEAR NO. 03/04-21.1 thru 03/04-21.2 this the 16`h day of March 2004 at a regular meeting of the Commissioners' Court, the following members, i ' re present: Randy Sims, County Judge, Presiding Eric Caldwell, Commissioner, Precinct 1 E. Duane Peters, Commissioner, Precinct 2 G. Kenny Mallard, Commissioner, Precinct 3 Carey CauleY, Jr., Commissioner, Precinct 4 Karen McQueen, County Clerk The follo ing proceedings were held: T T WHEREAS, on 16 March 2004 the Court heard and approved a budget amendment for the 2003-200 (budget year for Brazos County, Texas. REAS, an expenditure is necessary due to the necessity to meet unusual and unforeseen condition which could not be reasonably included in the original budget adopted 12 September 2003 the following ~nendment(s) to the original are hereby authorized, as described on the attached page(s). A OPTED AND APPROVED this the 16`h day of March 2004. I THE By: SIONERS' COURT OF BRAZOS COUNTY, TEXAS. County Judge Original: Copies: County Clerk's Office and attached to the original budget County Auditor County Treasurer Commissioners' Court Minutes VOL 63 pAnE _20(, BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 03/04-21.1 3/16/2004 FD D ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 0001 65 00 720300 Cr. Architectual Srvs. 100,000.00 (001 490280 Dr. Tsf fm General Fund 100,000.00 01 1 910650 Cr. Tsf to Recreating Brazos/Ctr 100,000.00 01 ll 015 611300 Dr. Contingency 100,000.00 Recr 'tin Brazos Center To re arse budget amendment #03/04-11.3 that was passed in Commissioners Court 12/23 003 in anticipation of the passage of the Venue tax. F zzlor air mkNv 3/9/2004 Approved By: Date: UL :53 PAGE 20"7 BRAZOS COUNTY, TEXAS BUDGET AMENDMENTS No. 03/04-21.2 3/16/2004 FD D1 1 ACCT PROJ DR/CR ACCOUNT NAME Increase Decrease 01 11 01 720300 Dr. Architectual Srvs. 230,400.00 01 11 15 611300 Cr. Contingency 230,400.00 Com ssioners Court To se L, P the budget to a the architectual services associated with the construction of the Braz ? Center at the new Expo Center. It was anticipated that this cost would be reimbursed from 'e s ecial Venue tax which did not ass the election. Prepared B Date: mkw 3/9/2004 Approved By. Date: V L 63 PAGe -q° K PERSONNEL CHANGE OF STATUS C RT DATE: March 16, 2004 DE ARTMENT: Personnel PU OSE:.. A~e~o .e Personnel Change of Status DE RTMENT NAME EMPLOYEE NAME ACTION REQUESTED ATTORNEY CHAPA, MICHAEL SALARY INCREASE OCON, CYNTHIA SALARY INCREASE POPE, KARA M. SALARY INCREASE BNILE SERVICES AGUILAR, MANUEL CALDWELL, RONA DENSEY, SHARON GREEN, BRANDY SANDLE, VINCENT WHITE, MELISSA TRANSFER WITHIN DEPT. RESIGNATION RESIGNATION RESIGNATION RESIGNATION STEP INCREASE ed in Commissioners' Court: Judge's or Commissioner's S spy to be attached to minutes) j Office of the Brazos County Auditoi Brazos County Courthouse 300 East 26th Street, Suite 314 Bryan, Texas 77803 (979) 361-4350 Fax(979)361-4347 Email: Auditor cgco.brazos.tx.us Memorandum February 12, 2004 To: Honorable Randy Sims, County Judge From:' Megan Conkel, Asst. Co Auditor, RE: 1I ! '04 Title IV-E Foster Care Maintenance Contracts We h~ve recently received the Title IV-E Foster Care Maintenance contract for the 2004 fiscal dear. This contract is funding that reimburses the county for qualifying expenses for c dren in the foster care program. The 2004 contract does not have any changes that need 0 be made, however page 2 of Form 2046 requires your signature before we are able receive our reimbursement for the first quarter. This page also contains a section that Nye are requesting you review and indicate the appropriate box as it might apply, if you f t1 comfortable with the certification regarding disbarment. Pleastiinclude this on the agenda for your approval at the next meeting of Commissioners you VOL 53 PAGE ai0 texas Uept o Protective Certification Regarding Debarment, Form 2046 and Regulato t :Services July 2001 Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts Federal Regulations (45 CFR part 76) require the Texas Department of Protective and Regulatory Services ( S) to determine whether each potential contractor has been debarred or suspended or proposed r debarment or suspension under 48 CFR part 9, are ineligible, as defined in 45 CFR §76.105(1 or has accepted a voluntary exclusion. Each covered contractor must also make the same determina 'ion for each of its covered subcontractors. Contractors and subcontractors are both referred to as lower t" participants in this Certification. Instructions for Certification By signin and submitting this proposal, the prospective lower tier participant is providing the certificate b set out below: 1. The c ification in this clause is a material representation of fact upon which reliance was placed when his transaction was entered into. If it is later determined that the prospective lower tier partici nt knowingly rendered an erroneous certification, in addition to other remedies available to the Fe + ral Government, the department or agency with which this transaction originated may pursue availa Ile remedies, including suspension and/or debarment. 2. Thep pective lower tier participant shall provide immediate written notice to the person to which this pr, "osal is submitted if at any time the prospective lower tier participant learns that its certifi tion was erroneous when submitted or has become erroneous by reason of changed circu nces, whether the circumstances occur before the contract begins, during the term of the contra, or during the term of an extension of the contract. 3. The to s covered transaction, debarred, suspended, ineligible, lower tier covered transaction, partici tint, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used i this clause, have the meaning set out in the Definitions and Coverage sections of federal rules imple Onting Executive Order 12549. You may contact the person to which this proposal is submi 'd for assistance in obtaining a copy of those regulations. 4. The pr pective lower tier participant agrees by submitting this proposal that, should the proposed covere transaction be entered into, it shall not knowingly enter into any lower tier covered transa Ion with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspen d, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless thorized by the department or agency with which this transaction originated. Do yo )have or do you anticipate having subcontractors under this proposed contract? ❑ Ye M No 5. The pr e> pective lower tier participant further agrees by submitting this proposal that it will include this cl a titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclus 4dn-Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 6. A parti i pant in a covered transaction may rely upon a certification of a prospective participant in a lower t ~r covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarr suspended, ineligible, or voluntarily excluded from covered transactions, unless it knows that the I Certification is erroneous. A participant may decide the method and frequency by which it determ 'es the eligibility of its principals. Each participant may, but is not required to, check the List of Part Excluded from Federal Procurement and Nonprocurement Programs. V O L 53 PAL 1" %,ei uiacat►un negaruing tebarment, ~Vyu and Regulato Services July 2001 Suspension, Ineligibility and Voluntary Exclusion for Covered Contracts 7. Nothi $ contained in the foregoing shall be construed to require establishment of a system of records in ord t to render in good faith the certification required by this clause. The knowledge and info tion of a participant is not required to exceed that which is normally possessed by a prudent perso in the ordinary course of business dealings. 8. Excep for transactions authorized under paragraph 5 of these instructions, if a participant in a cover transaction knowingly enters into a lower tier covered transaction with a person who is propo 'd for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or volun oily excluded from participation in this transaction, in addition to other remedies available to the Fe ral Government, the department or agency with which this transaction originated may pursue availa ~e remedies, including suspension and/or debarment. i Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier red Transactions Indicate in'Iole appropriate box which statement applies: Thep pective lower tier participant certifies, by submission of this proposal, that neither it nor its prmci 141s is presently debarred, suspended, proposed for debarment, declared ineligible, or volunt lily excluded from participation in this transaction by any Federal department or agency. OR ❑ Where I1~e prospective lower tier participant is unable to certify to any of the statements in this certifi Otion, such prospective participant has attached an explanation to this certification. Com issioners' Court of Brazos Count Name Potential Contractor 1 No. or Social Security No. of Name of Representative 2003074031 PRS Contract No. (if applicable) Date County Judge Title 5-3 Attachment A, County Title IV-E Foster Care Maintenance Contract FY 03 ATTACHMENT A ALLOWABLE FOSTER CARE MAINTENANCE CLAIMS (Title IV-E Eligible Children - Child Specific) Cloth g Shelt Daily pervision (day care) Transp ortation (biological family or court ordered visitation) Schoo Supplies Child' J Personal Incidentals (graduation gifts, allowances, gifts, and personal items) NO This i root an all-inclusive list of allowable foster care maintenance expenses. The coun ~rnay elect to add items to this list with the prior approval of the Regional Conta ` Manager. Expe 4itures must be directly related to a Title IV-E eligible foster child Adeq h availa ~~e documentation to support expenditures must be maintained and made to the Department upon request. VOL 63 pArn. J-13 Attachment B, County Title IV-E Foster Care Maintenance Contract FY 03 ATTACHMENT B ALLOWABLE FOSTER CARE MAINTENANCE COSTS TRAINING EXPENSES (IV-E Specific Training) Costs 'If providing Short-Term Training to current or prospective foster and adopt a parents. Brazo !County will not be rovidin short-term trainin in FY03 to current or ros tive foster and adoptive parents. ATT GH NARRATIVE WITH A DESCRIPTION OF EACH TRAINING TO BE PRO DED. INCLUDE A DESCRIPTON OF HOW THE TRAINING IS RELATED TO TITLE IV-E FUNCTIONS. INCLUDE ESTIMATED TOTAL COS FOR EACH TRAINING AND INCLUDE TRAVEL, PER DIEM, REG TRATION FEES, ETC. Note: Train g reimbursed with Title IV--E funds must be focused on enhancing knowledge and b 'ilding skills necessary to perform functions directly related to the benefits offere by the IV-E program to improve outcomes for children placed in out-of-home care. Trave land per diem expenses cannot be reimbursed above the current travel and per diem tes established by the State of Texas. Adeq to documentation to support expenditures must be maintained and made availa (e to TDPRS upon request. Attachment C, County Title N-E Child Welfare Services Contract Brazos County Contract # 2003074031 FY 04-01 ATTACHMENT C ALLOWABLE FOSTER CARE ADMINISTRATIVE OR INDIRECT COSTS For ounties Claiming Reimbursement For Allowable Administrative or Indirect Costs (Other Than Training) ATT CH A COST ALLOCATION PLAN (BUDGET AND NARRATIVE) SHOWING ALL DIRECT AND INDIRECT COSTS FOR WHICH THE COUNTY SEEKS REI URSEMENT UNDER TITLE IV-E. Note: Allo 4ble Administrative or Indirect expenses may include the following (not an all- inclu i'~e list): Refer al services Prep tion for judicial determination (limited to preparation of reports to the court and p ticipation in court proceedings by Countypersonnel Place ent of a child Development of the case plan Case *views Case anagement and supervision Prop ionate share of related County overhead Adeq ttte documentation to support expenditures must be maintained and made availa We to TDPRS upon request a.. 53 k X 15 Risk Analysis Questionnaire Contract Name: mmiss June 2003 Contract Numbe 12003074031 and 2003074030 Please provide the person's name, title, phone number and date of person completing this form. Megan-, 1 February 12, 2004 Name Date Title 979-361-4352 Phone Number 1. Do you currentl (have other contracts with PRS or any other Governmental entity [federal, state (ISD University) county , ? No ❑ Yes If yes, please check the appropriate number below: ❑ 1 contract 2 contracts ❑ 3 to 4 contracts ❑ more than 4 contracts 2. If applicable, ch k the appropriate time period, measured from the fiscal period beginning September 2001 since your last au , 1 was completed by an independent party (such as an annual independent audit, compliance audit, single audit, c.) Less than 1 ye t ❑ 1 year ❑ 2 years ❑ 3 years or more 3. Type of Related Marty Transactions: "Doing business" refers to business activities such as purchasing (e.g., a building, a comput 't, a vehicle, etc.), leasing (e.g., a building, a computer, a vehicle, etc.), and/or obtaining a service (e.g., legal rvices, accounting services, banking services, etc.), even if the purchase/lease/service is provided at no cha a from anyone related by blood or marriage to a member of your Board of Directors; a principal stockhold 4; or a key employee. See 40 TAC § 732.240 (F-H). Does your agency O business with any of the above-mentioned parties for the following? ❑ Yes KNo Non ' ompensated services ❑ Yes X No Building/Leasing ❑ Yes K No Non nputine or non-recurring services ❑ Yes ® No Transportation ❑ Yes 0 No Con '~Iting or Management services ❑ Yes D9 No Labor 4. The percentage Of total expenditures paid out to Subcontractors in a fiscal year. R 0% ❑ 20% o tress ❑ 21 % to 40% ❑ more than 40% 53 r June 2003 5. Experience of rYjq Position County Judge County Auditor nt staff and key personnel: Experience with fiscal Total experience in and/or program providing the type of components of federal service being contracted and/or state contracted Less than 2 years ❑ 2 years or more ❑ 0 to 12 months 13 to 35 months ❑ 36 to 59 months ❑ 60 or more months Less than 2 years ❑ 2 years or more Accounting [Comp Her, Less than 2 years Chief Financial Off rqer, Business Mgr, etc, ❑ 2 years or more Assistant District A rney ❑ Less than 2 years (budgeted to the c rltract) j~ 2 years or more Administrative Sta ❑ Less than 2 years (budgeted to the c 'retract) ❑ 2 years or more WA 0 to 12 months ❑ 13 to 35 months ❑ 36 to 59 months ❑ 60 or more months R 0 to 12 months ❑ 13 to 35 months ❑ 36 to 59 months ❑ 60 or more months ❑ 0 to 12 months N 13 to 35 months ❑ 36 to 59 months ❑ 60 or more months 0 to 12 months ❑ 13 to 35 months ❑ 36 to 59 months ❑ 60 or more months Tenure with your agency ❑ 0 to 12 months 13 to 24 months ❑ More than 24 months ❑ 0 to 12 months ❑ 13 to 24 months 0 More than 24 months ❑ 0 to 12 months ❑ 13 to 24 months 0 More than 24 months ❑ 0 to 12 months ❑ 13 to 24 months 9 More than 24 months M 0 to 12 months ❑ 13 to 24 months ❑ More than 24 months 011. 53 PAGE ;W7 % _1 4P I4 APPLICATI N FOR TAX REFUND CoNectirp Brazos COUn 300 E. Wm J. Bryan Texas Tax Office ryas Pkw) Phone Number 803 979-WI-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the followin : Home Loan Corp. Step 1: V Owner's name ams, Roger L. and address O Box 3344 Phone Station, Texas 77841-3344 Stop 2: Describe the ~egal Description Qedar Oaks Estates, Lot 59, MH Serial # 28229RV, Acres 6.999 property or Location P9W Megan Ln # or Tax Receipt # P_f 787 Stap 3: Give the tax payment am e of Taxing unit Tax Year Date of Amount Refund amt fo refund PavrneM Paid Reguested Brazos County 2003 01/31/2004 $205.98 $109.54 InFormation 14nmE LOAN CORPORATION 1112 EAST COPELAND RD. STE. 550 ARUN(-iIUN, 10M /Z501 I Taxpayers reason for refund (attach supporting documentation): 0-Overpayment Step 4: Sign the form I hereby apply for the refund of the above-described taxes and certify that lhe information. kfiiiVe given on this form i4rue and correct." ign here > data > l (f you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination his tax refund is [ ed [ ] Disapproved owdwized officer ign here > date > udxwt sd officer of taxing for refund applications over amount required under Oection 31.11 Tax Code ign here > l 53Q ,4 ~i~d APPLICAT IAN FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas Tax Office cyan Pkwj Phone Number . 803 979-361-4470 Collecting tax for (taxing units) Brazos County, City of Bryan, City of College Station Bryan 180, College Station 180, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the followin : Step 1: Owners name Adams, Travis and address 3216 Wildemess Dr PhoQe Bryan, Texas 77807 ~ q- d 7` Step 2: Describe the Legal Description Westwood Estates, Block F, Lot 15 p"Verty Address or Location 3216 Wildemess Dr Acct# / Or Tax Receipt # R47827 SG' S O - d©Olo - 0 Step 3: Give the tax payment N r rr of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested Brazos Count 2003 12/31/2003 $753.54 $450.00 information axpayers reason for refund (attach supporting documentation): OP-0 ve ent Step 4: Sign the form I hereby apply for the refund of the above-described taxes and certify that information I have given this form is `ign here > date > - G~ you make a false statement on this application, you could be found guilty of a ass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. I Step 5: ax refund determination is tax refund is ( ed [ ] Disapproved 'uthodzed officer ign here > date > u#wdzed officer of taxing u for refund applications over amount required under iectron 31.11 Tax Code ign here > date > 5 3 APPLICAT N FOR TAX REFUND Collecting office Brazos Coun 300 E. Wm J. Bryan Texas Tax Office ryan Pkw) Phone N 803 979-Wl- 47o Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply fora i Ox refund, the taxpayer must complete the following: Stop 1: owners name I Alen, Faith C/O Wallace, Faith and address 17440 N FM 487 Phone Thomdale, Texas 76577-2698 Stop 2: Inscribe the Legal Description River Oaks, Space 12-A, Mh Serial # CLW15954TX, Label # HWC0296994 Property Address or Location 14230 Connie Ln # or Tax Receipt e 109282 stiep 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested razos Count 12/19/2003 $239.14 $100.00 Information taxpayer's reason for refund (attach supporting documentation): P-Ove ment Step 4: Sign the form 1 hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." ign here> Ql f!.Q, YL date> u make a false statement on this application, you could be found guilty of a s A misdemeanor or a state jail felony under Texas anal Code Section 37.10. Stop 5: Tax refund determination tax refund is [ Approved [ ] Disapproved orized officer [Ign here > Z~ Z:z- date > Authorized officer of taxing unk refund applications over amount required under $action 31.11 Tax Code ign here > date > IN FAiEarse APPLICAT pN FOR TAX REFUND COllecOn'g Office Brazos Cou 300 E. Wm J Bryan Texas me Tax Office ryan Pkw) Phone Number 4803 979-3614470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of Collage Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the er must complete the following: Step 1: owners name Alvarez, Richard & Monica F and address 401 Blue Swan Ct Phone Jacksonville, NC 28540-8641 Stop 2: Describe the Legal Description Villa Forest # 2, Bk3ck A, Lot 14 property Address or Location - 3111 Heathefwood Acct # Or Tax Receipt # R45868 Stt p 3: Give the tax payment Name of Twdna unit Tax Year Date of Amount Refund amt refund Pavrt>ent Paid Reat~ested Brazos Cou 2003 02/19/2004 $450.64 $119.42 Information Taxpayer's reason for refund (attach supporting documentation): OP-Overpayment Step 4: Sign the form 1 hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." gn here > ✓t date > 3 - you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Te enal Code Section 37.10. Step 5: Tax refund determination is tax refund is [ ed [ ] Disapproved uthortred officer ign here > date > uthorized officer of taxing unit for nd applications over amount required under on 31.11 Tax Code -f U Ign here > date > VU L 53 PAGE a z ~ T APPLICATION FOR TAX REFUND ..ma y "mm Collecting in for. (taxing units) Brazos Cou Tax Office Brazos county. City of Bryan. CUy of College Station 300 E. Wm J. cyan Pkwn Phone Number Bryan ISD, College Station ISD, F1, F2, F3, R. City of Kurten Bryan Texas 803 979-81-4470 MAKE PAYABLE TO: To apply fora refund, the taxpayer must complete the follows : Transunlon SetHemental Sol. Stop 1: Owners rams Askew, Trina & Aaron Thompson Jr and address 4100 Malvem St Phone Bryan, Texas 77803-0507 Stop 2: Legal Desc iplbn no c be the Margaret Wallace, Block 8, Lot 10, Pt of 9 property Address or Location _ 4100 Malvern St # Or Tax Receipt if R46670 Stop 3: Name of Tsxkw R Tax Year Date of Amount Refund amt Give the tax of refund Payment Paid Requested payment Brazos County 2003 01/31/2004 $270.69 SM RR axpayers reason for refund (attach supporting documentation): P-Ove a ment Step 4: 1 refund of the a nZdl taxes and certify that Sign the form inf&mation I We given on this a " tgn here dato> 01/- you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Stop 5: This tax refund is [ Approved [ l Disapproved Tax refund ~ uftwt ed officer determination ign here > 9- date rid applications over amount required under udwrbwd officer of taxing uni71"fu Section 31.11 Tax Code ign here > date > A ! . 41 C) V®L 53 PAGE :2- a.;. APPLICATION FOR TAX REFUND Collecting office Bf azos COu n 300 E. Wm J B an Texas inTo ax Ofifice an Pkwy Phone Number 03 979361-4470 Colle cting tan for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a efund, the er must corn ete the following: Mr. Or Mrs. Birdwell Step 1: owners name Birdwell Family Limited Padnershi and address 3 Forest Dr Phone College Station, Texas 77840 Stop 2: Describe the Legal Description Widcson Lakes Estates, Lot 15, Acres 13.03 prop" or Location Acct* Or Tax Receipt # R109956 step 3: Give the tax payment Name of Taxina unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested Brazos Count 2003 12/31/2003 $54.24 $9.00 Information axpayer's reason for refund (attach supporting documentation): P-0ve ment Step 4: Sign the form 1 hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and oonect." ign here> date > If you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state Jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination is tax refund is ( Approved [ ] Disapproved ~ uthorb ed officer . ign here > date > u#Wrized cer of taxing unit refund applications over amount required u Section 31.11 Tax Code ign here > date > V tL 53 PAGE _3 r APPLICATI N FOR TAX RFFIJNn C011ec111p otficx Brazos Coun 300 E. Wm J. B n Texas Tax Office ryan PkM Phone Number 803 979-381-4470 Collecting tax for: (taxing unite) Brazos County. City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To fora refund. the UIxpayer must calm ete the follows : Homecomings Financial Step 1: owners name races, Carolyn and addrew 7 Braeswood Cir Phone an, Texas 77803-5176 Stop 2: Describe the jAgal Description len Forest # 4, Block 11, Lot 2 property *ddress or Location 07 Braeswood Cir # Or Tax Receipt S 17173 Stop 3: Give the tax payment Name of Taxina unit Tax Year Date of Amount Refund amt of refund Pavmerrt Paid Requested razos Count 2003 12/08/2003 $2,682.97 $2,344.80 information Taxpayer's reason for refund (attach supporting documentation): PP-Overpayment Step 4: Sign the form hereby apply for the refund of the above-described taxes and certify that information I have given on this form Is true and correct." gn here > c ll' date > ti you make a false on this application, you could be found guilty of a taws A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Stop 5: Tax refund determination is tax refund is Approv [ ] Disapproved u#wrized officer gn here > date > zZ2 4=iZT:~Z N - uthodzed officer of taxing unit for applications over amount required under ection 31.11 Tax Code gn here > date > VOL 53 FAGS } APPLICATION FOR TAX RFF:tjNn Collecting OMice Brazos Cou 300 E. Wm J.''1 Bryan Texas RM- ' Tax Office .7803 Bryan Pkw) Phone Number 979-3614470 Collecting tax for: (taxing units) Brazos may, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the follovAn : Step 1: owners name Brazos Valle Nurse and address PO Box 3284 Ptwne B an, Texas 77805 Stop 2: Deserlbe the Legal Description Business Personal Property or Location 1800 S College Ave Bryan Acet # or Tex Receipt # P60133 Step 3: Give the tax payment Name of Taxina unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested Brazos County 2003 01/31/2004 $320.25 $154.80 Information Taxpayers reason for refund (attach supporting documentation): OP-Overpayment Step 4: I Sign the form I hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." l i ign here > J date > (p 00 you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas _!"I Code Section 37.10. Step 5: Tax refund determination is tax refund is [ ] Disapproved uthorized officer ign here > [ date > / uthorfzed officer of taxing un refund applications over amount required under "on 31.11 Tax Code ign here > date > APPLICAT N FOR TAX RFFUNn Collecting office 9F Brazos Coun 300 E. Wm J. Bryan Texas IM Tax Office ryan Pkw) hone Number 979-361-4470 Correcting tax for (taxing units) Brazos County, City of Bryan, City of College station Bryan ISD, College Statlon ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the taxMer must complete the following: Stop 1: Owners rams Central Texas Endosco Center and address 06 E Villa Maria Rd Phone Bryan, Texas 77802 Step 2: I~atcrlbs the aI Description sines Personal Pmper ty property or Location 06 E Villa Maria Rd # 114294 or TaxRecelpt# Stop 3: Give #w tax payment Name of Taxina unit razos Count Tax Year Date of Amount Refund amt refund Pavmerrt Paid Requested 2003 2-1 $3,598.28 $2,751.40 information taxpayer's reason for refund (attach supporting documentation): P-0ve ent Step 4: Sign the form 111 he rebyap* for the refund I have w above-described taxes and car* tat form is true and correcL" F f IN V X41-~ date > false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas enal Code Section 37.10. Step 5: ax refund determination is tax refund is *udwrized officer lgn here > Approved [ ] Disapproved date > uthodzed officer of taxing un Section 31.11 Tax Code Ign here > or refund applications over amount required undo date > VOL 53 PAGE ~a~ APPLICATION FOR TAX REFUND Colecting Office Brazos Coun 300 E. Wm J. Bryan Texas Tax Office ryan PkM Phone Number 803 978361-4470 C 1lec;ting tax for: (taxing units) Brazos County, City of Bryan, City of College station Bryan 18D, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the following: Step 1: ! owners rams 'a, Rosalie S and address 716 Laura Ln Phone lege Station Texas 77840-4355 Step 2: Describe the Description Glade, # 11, Lot 9 property or Location X1716 Laura Ln CS e or Tax Receipt0 028074 Step 3: Give the tax payment Name of Taxina unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested 13razos county 2003 01/28/2004 $3,036.18 $2,982.20 information taxpayers reason for refund (attach supporting documentation): Rp-Overpayment Step 4: Sign the form ti hereby apply for the refund of the above-described taxes and certify that ~he inforrnation I have given on this form is true and correct." ign here > date > Q - ~j - B you make a faire statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas nal Code Section 37.10. Step 5: Tax refund determination is tax refund is ( Approved [ ] Disapproved Authorized officer ign here > date > lene uthorized officer of taxing 7,,6 refund applications over amount required undeV "on 31.11 Tax Code lgn here > date > 1' L 53~..PpGr' aa~ APPLICATI N FOR TAX REFUND Ong Olfice M OM - - Collecting tax for: (taxing units) Brazos Coun Tax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J. an Pkwy Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kuft an Texas 903 979-361-4470 MAKE PAYABLE TO: To apply fora - V l i B . e n anks Stop 1: Determan, Stanley D & Elizabeth S Owners name 8720 Bent Tree Dr andaddnus College Station, Texas 77845 Phone Stop 2: kagal Description Dow be the meral Forest # 4, Block 3, Lot 7 property ress or Location 720 Bent Tree Dr Acdo or Tax Receipt # 126750 Stop 3: Name of Taxing unit Tax Year Date of Amount Refund and Give the tax of refund Payment Paid Requested payment razos Count 2003 12129/2003 $914.00 $265.50 Information yens reason for refund (attach supporting documentation): P-0ve meat b Mort a e Co Step 4: hereby apply for the refund of the above-described taxes and certify that Sign the form information I have given on this form is true and correct" n here > t" ;"0 310 date > - aQ ;you make a false statement on this application, you could be found guilty of a A misdemeanor or a state jail felony under Te enal Code Section 37.10. Step 5: is tax refund is Approved I ] Disapproved Tax refund L~thorlzed officer determination AlIgn here > date > officer of taxing r or nifund applications over amount required under 7 on 31.11 Tax Code n here > date > APPLICATION FOR TAX REFUND Brazos Cou 300 E. Wm J. !li Bryan Texas Tax Office ryan 10 Pkwy Phone Number 803 9793814470 Collecting tax tor: (taxing units) Brazos County, City of Bryan, city of college Station Bryan 180, College Station ISD, F1, F2, F3, F4, Cky of Kunten MAKE PAYABLE T0: To apply for a refund, the taxpayer must complete the following: Step 1: owners name Dolphin Ca dal ration and address 2061 N Movie St Phone Moberly, Mo 65270-3651 sbp 2: Inscxibe the Legal Description Leased Equipment College Station property Address or Location Acct# Or Tax Recelpt0 P104542 Stop 3: Give the tax payment Name of Tsxha unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested Brazos County 2003 02/19/2004 $289.12 $82.78 Information axpayers mason for refund (attach supporting documentation): P-Overpayment Step 4: Sign the fore 1 hereby apply for the refund of the above-described taxes and certify that the given on this . true and correct." i n here > you make a false statement on this application, you could be found guilty of a Mass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund deternination is tax refund is [ Approved [ Disapproved Authorized offs Ign here > 11 14&e date > uthorized officer of ng unit for refund applications over amount required under Section 31.11 Tax ign here > date > APPLICATI N FOR TAY RFFI iNn Cq%Cor'g Office " Brazos Cou 300 E. Wm J. Bryan Texas Fre Tax Office ryan Pkwy Phone Number 803 979381-4470 Collecting tau for: (twft units) Brazos County, City of Bryan, City of college station Bryan ISO, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the UWayer must complete the followl : Bombardier Capital Stop 1: i Owners name Vulbx0is, Duane E address Cedar Oaks Dr Phone ryan, Texas 77808-9454 Step 2: Describe the ~eo DescriptIon Mobiel Home Serial # TXCTCGR990474A, Label # TA0825474, Forest Creek Estates, Lt-18 p"Mperty Tess or Location - 54 Cedar Oaks Dr # or Tax Receipt # 104332 Step 3: Give the tax payment i Name of Taxkw unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested Brazos County 2002 12/31/2003 $252.08 $15.92 Inlionrration axpayees reason for refund (attach supporting documentation): P-0v ent Stop 4: Sign the form hereby apply for the refund of the above-described taxes and certify that H)e information I have given on is form is true and correct." gn here > date > d- jj you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a auto jail felony under Texas Pe I Code Section 37.10. Step 5: ax refund determination ; is tax refund is ( Approved I Disapproved Fon officer hem > date > ~ 4ZZ4L4VZ Officer of taxing u for applicatlons over amount required under" 11 Tax Code gn here> date > APPLICATI N FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. B an Texas x Office n Pkwj Phone Number 3 979-3t31-4470 Collecting tax for. (taxing units) Brazos county, City of Bryan, city of college station Bryan 1813, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a fund, the bu(payer must con lete the following: J Step 1: Owners rrarrrs ott Construction Inc. Scott Elliott and address ~ 49.49 Live Oak St Phone I e Station, Texas 77845 Stop 2: Describe the Description usiness Personal Pn*exty property or Location 4949 Live Oak St # Or Tax Receipt # 88950 Stop 3: Give the tax payment Name of Taxina urdt Tax Year Date of Amount Refund amt refund Payment Paid Requested razos county 2003 02/20/2004 $5,846.76 $4,211.08 information axpayers reason for refund (attach supporting documentation): P-Ove ent Stop 4: Sign the form hereby apply for the refund of the above-described taxes and certify chat information have given on this form is true and correct." ign here > ~a date > r- -.a you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Stop 5: ax refund determination , is tax refund is ( Approved [ ] Disapproved Authorized officer ign here > date > uthorized officer of taxing for refund applications over amount required under "on 31.11 Tax Code ign here > date > VOL 53 PACE d-31 APPLICATI N FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas Tax Office ryan Pkw) Phone Number 803 979-3s1-4470 Collecting taut foe (twdng unb) Brazos County, City of Bryan, City of College station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply fora refund, the taxpayer must corn ete the following: Stop 1: Owner's name Iliott Electric Supply and address r0 Box 630610 Phone a , Texas 75963-0610 Stop 2: In c be the Description usiness Personal Pipperty property or Location 501 Cavitt # or Tax Receipt # 113657 Stop 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt refund Payment Paid Reauested razos Count 2003 02/19/2004 $1,644.85 $687.85 Information axpayers reason for refund (attach supporting documentation): RE-Overpayment Step 4: Sign the form 1 hereby apply for the refund of the above-described taxes and certify that 1he information i hwe given on this fbFM is true and correct" ign hero > ,EGGS > lif you make a false statement on this appiication, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination is tax refund is Approved [ ] Disapproved *udwrized officer ign here> date: uthorized officer of taxing for refund applications over amount required under "on 31.11 Tax Code Ign hero > date > 11L53 PAGE ~3~ APPLICATI N FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas ) Tax Office an Pkwy Phone Number 803 979-MI4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply fora refund, the taxpayer must complete the following: Stop 1: Owners name roehlin , Edward and address 7 High Lonesome Phone Station, Texas 77845 Step 2: Describe the (aged Description 005401 R Stevenson ICL , Tract 12.13, Acres 36.722 property Address or LwAdlon ar= Rd Acd* Or Tax Receipt # 13829 Stop 3: Give the tax paymern Name of Twdna ur# Tax Year Date of Amount Refund amt of refund Payment Paid Reauested razos County 2003 01/31/2004 $2,454.57 $857.16 Information a);ayers reason for refund (attach supporting documentation): P-Ove a ent Step 4: Sign the form hereby apply for the refund of the above-described taxes and certify that 1he information I have given on this form is true and correct." ign here > date > 3 O you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas P Code Section 37.10. Step 5: " Tax refund determination this tax refund is [ Approved I ] Disapproved udwrized officer ign here > date > t1gn orized officer of taxing un refund applications over amount required under on 31.11 Tax Code her e > date > 11 VOR 53 233 APPLICAT d)N FOR TAY RFFI INn Collecting office Brazos Coun 300 E. Wm J. Bryan Texas ms Tax Office cyan Pkvv) Phone Number 803 979-s1-470 CollectIng tax tor: (taxing units) Brazos County, City of Bryan, City of college station Bryan ISD, College Station ISD, F1, F2, F3, F4, Cky of Kurien MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the followin : Stop 1: owners narne Gaas Tool & Die Company Milton Gaas and address 3402 C N Texas Ave plprg Bryan, Texas 77803 Stop 2: Describe the lsgel Description Business Personal Property property Address; or vocation 3402 C N Texas Ave Acct # or Tax Receipt # 80389 Stop 3: GWe the tax Payment Name of Tarn unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested razos Count 2003 02/19/2004 $579.93 $300.59 information axpayees reason for refund (attach supporting documentation): PP-Overpayment Step 4: Sign the forth 1 hereby apply for the refund of the above-described taxes and certify that i ave given on this forn3ds true and i > _ date > You ma a false nt on this a cation, ou could be fou guilty of a lass A misdemeanor or a state Al felony under Texas P rolI Code Section 37.10. Stop 5: Tax refund determination this tax refund is [ Approved I Disapproved Authorized officer ign here > Fdate > Xw - Udmdzed officer of taxing u for refund applications over amount required under $eation 31.11 Tax Code ign here > date > VOLE PAGE zO APPLICAT N FOR TAX REFUND Coitecong Office Brazos Coun 300 E. Wm J. an Texas Tax Office ryan Pkwj Phone Number 803 179-381-447o Collecting tax for: (taxing un b) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the followin : Homecomings Financial Step 1: owners name Good, James B & Tana M Mc co -Good and address 1008 Huntin on Dr Phone lege Station, Texas 77845-5635 Step 2: Describe the Description oxfire A, Block 13, Lot 4, Acres 1.02 property or location 008 Huntin on Dr # or Tax Receipt # 76467 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Pay ment Paid Requested razos County 2003 12/08/2003 $1,563.81 $875.25 Information axpayees reason for refund (attach supporting documentation): P-Ove ment Step 4: Sign the form 1 hereby apply for the refund of the above taxes and certify that information 1 have given on this form is true and correct." ( I ign here > date > you make a few on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination is tax refund is Approved [ ] Disapproved udwrized officer ign here > date > uthorized officer of taxing it for refund applications over amount required under *ection 31.11 Tax Code ign here > date > 11 ~ VV13 L 53 P r23.5 APPLICAT N FOR Tax RFFUIUn Coming Office Brazos Cou 300 E. Wm J. Bryan Texas Tax Office ryan Pkw) Phone Number 803 979-61-I470 Collecting tax for: (taxing units) Brazos County, City of Bryan, city of college Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the bugwyer must complete the followin : step 1: TAnvrs owners rams Hooton, imees G 8r Marilyn J and address 14774 Stonebriar Cir Phone lCollege Station, Texas 77845 Stop 2: Describe the legal Descrow Pebble Creek # 2A, Block 15, Lot 37 property Address or Location 774 Stonebriar Or Acd a Or Tax Receipt # 3796 Stop 3: Give the tax payment Name of Taxina unit Tax Year Date of Amount Refund amt refund Payment Paid Rea razos County 2003 12/31/2003 $2,834.68 $72.69 information axpayers reason for refund (attach supporting documrenudion): P-Overpayment Stop 4: Sign the form I hereby apply for the refund of the above-desenbed taxes and certify that information I have given on is torn is true and correct." Ign date> - you make a false statement on this application, you could be found guilty of a class A misdemeanor or a state jail felony under Texas Penal Code Section 57.10. Stop 5: Tax refund determination is tax refund is [ ed ( ] Disapproved uthorized officer ign here > date > udxw aed officer of taxing unit nd applications over amount required under on 31.11 Tax Code ign here > date > VOL 53 F.AU 3(p APPLICATI . N FOR TAX REFUND Cokc ft office Brazos Coun 300 E. Wm J. Bryan Texas Tax Office , ryan Pkwj Phone Number 803 979-MI.4470 Colleetlng tax for. (taxng unb) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the "xpayer must complete the follow) : Stop 1: Owner's name Kohnson, Arteka and address Gladerid a Dr P ton, Texas 77068-2421 Step 2: Deecribethe JAgal Description rdlicka, Block 1, Lot 9 properly ress or location - Thompson # Or Tax Receipt # 9518 Step 3: Give the tax payment Name of Taxina unR Tax Year Date of Amount Refund amt refund Payment Paid Reauested Brazos County 2003 01/31/2004 $44.43 $14.15 information axpayees reason for refund (attach supporting documentation): OP-Overpayment Stop 4: Sign the form I hereby the refund of the above-described taxes and certify that i We given on this form *ue a correct" ign here > date > p~ 'I you make a false statement on DIs p plicatlon, you could be found guilty of a Mass A misdemeanor or a state ony under Texas I Code Section 37.10. Step 6: Tax refund determination This tax refund is [ Approved [ ] Disapproved utlxwlzed officer ' Ign here > date > udxwized officer of taxing u for nd applications over amount required under ~ection 31.11 Tax Code Ign here > date > Y!0L 53 P GE -37 APPLICAT1604 FOR TAX REFUND Collecting 0moe Brazos Coun Z 300 E. Wm J. an Texas x Office n Pkw) Phone Number 979.96141470 Co W*V tan for: (twft units) Brazos County, City of Bryan, City of College station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the must corn ete the followl : Stop 1: Ownees name rkoska, Ann s and address ILS Gilbert Phone n, Texas 77801 Stop 2: Describe the Legal Description ,olick # 3 Bryan , Block 2, Lot 4 Property or Location Gilbert # or Tax Receipt # 06 Stop 3: Give the tax payment Name of Taxina un!t Tax Year Date of Amount Refund amt refund Payment Paid Requested razos County 2003 01/13/2004 $1332.08 $317.49 Information - ye es reason for refund (attach supporting documentation): e a ent refund to Owner Stop 4: Sign the form heb apply for the refund of the above-described taxes and certify that ation I have given on this form is true and cpffect" r > 2 date > ~ -23 - Q ke a falsthis application, you could be found guilty of a isdemeanor or a state jail felorry under Texas Code Section 37.10. Stop 5: Tax refund determination und is [ Approved [ ] Disapproved officer hem > date > officer of taxing u for refund applications over amount required under 11 Tax Code Eignhem date > 53 pg1E APPLICATI N FOR TAY RFFI tNn Collecting office Collecting tax for: (taxing units) Brazos Coun Tax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J. ail Pkwj Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kuden Bryan Texas 803 079-61-4470 MAKE PAYABLE TO: To awy for a refund, the buwyer must complete the follovvin : Step 1: Owners name CIA Properties, LTD and address 925 Corridor Pkwy Phone Texas 78154-3215 Step 2: L" Description Describe the deiweiss Estates # 4B, Block 10, Lot 30 Property "rees or Location Graz Dr or Tax Receipt # 814 r Step 3: _Name of Taxina unit Tax Year Date of Amount Refund amt Give the tax of refund Payment Paid Requested payment razor Count 2003 01/31/2004 $519.90 $13.95 information payers reason for refund (attach supporting documentation): -Overpayment Step 4: h reby apply for the refund of the above-described taxes and certify that Sign the form j nformation have given on this form is true and correct." here > date > 3/"27 ?DO u make a false statement on this application, you could be found guilty of a s A misdemeanor or a state jail felony under Texas 1 Code Section 37.10. Step 5: is tax refund is [ Approved [ ] Disapproved Tax refund ~rthorized officer determination n here > date > ~rthorlzed officer of taxing unit refund applications over amount required under" on 31.11 Tax Code n here > date > 153 ~ ,A 437 APPLICAT1 N FOR Tax RFFI imn Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas ax Office an Pkvvl Phone Number f8103 979-8»470 Collecting tau for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kuiten MAKE PAYABLE TO: To apply fora t i$ refund, the tax pay er must complete the following: Stop 1: Owners name eschnick Construction and address 018 Peach Creek Cut Off Phone Oollege Station, Texas 77845 Step 2: Describe Uw ll egal Description usiness Personal Property Property rasa or Location 018 Peach Creek Cut Off Acct # Or Tax Receipt # 10103871 Stop 3: Give the tax payment Name of Taxing Tax Year Date of Amount Refund amt refund Payment Paid Reauested razos Count 2003 02/19/2004 $840.49 $433.37 information yens reason for refund (attach supporting documentation): P-Overpayment Step 4: Sign the form hereby apply for the of the abov bed taxes and certify that information I have d6n on this and correct" n here > date > d you make a false statement on this application, you could be found guilty of a A misdemeanor or a state jail felony under Texas 1 Code Section 37.10. Step b: ! Tax refund determination i Ihis tax refund is ( Approved [ ] Disapproved officer ;Ign here > date officer of taxing u for nd applications over amount required undef *ction 31.11 Tax Code n here > date > 53 APPLICATI N FOR TAX RFFt1Nn c4lecting Office " Brazos Coun 300 E. Wm J. Bryan Texas FM Tax Office ryan Pkwn Phone Number 803 979-MI-4470 Collecting tax for (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurben MAKE PAYABLE TO: To apply for a refund, the taxpayer must coin ete the followf : Step 1: owners name ohutek, Sheri Ruth & Ma 'orie S Keele and address 1 Sandy Point Rd Phone n, Texas 77807 Stop 2: Describe the Description A020300 John B Root, Tract 13.1 MH Serial # H054418A Label Al TEX0432838, Acres 131.06 property or Location 1 Sand Point Rd # Or Tax Receipt # 106613 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt refund Payment Paid Reauested razos Count 2003 02/06/2004 $402.32 $251.46 information axpayers reason for refund (attach supporting documentation): P-Ove ment Step 4: Sign the form 1 hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." i ign here > ti date > 2 3 e7l y a 11161 sta rt is n y Eo/J u ound guilty of a lass A misdemeanor or a state jail felony under Texas ,Penal Code Section 37.10. Stop 5: Tax refund determination is tax refund is [ Approved [ ] Disapproved *uttm zed officer i ign here > date udwrized officer of taxing un nd applications over amount required under *action 31.11 Tax Code ign here > date > 63 PA-T APPLICATI N FOR TAX REFUND Cogecdng Ortice N Brazos un4 Mne 6 Tax Office Cogec tkV tax for: (taxing unb) Brazos County, CCUyy of Bryan. Cay of College Station 300 E. Wm J. an Pkw) Phone Number Bryan 1813, College Station ISD, F1, F2, F3, F4, Cllyy of Kurten Bryan Texas 803 979-3s1-4470 MAKE PAYABLE TO: To apply for a refund, the buguyer must complete the followin : Stop 1: Owners name ubacak, Lawrence & Jeanne C/O Kubacak Inc. and addrass 410 Airline Dr Apt B J Phone ~ollege Station, Texas 77845 Stop 2: AW Dawription Oew be the ~antlcket # 4, Block 22, Lot 2, Acres 2.09 p" W" ~dtlress or Location 617 Ha es Ferry Rd # Or Tax Receipt # 924.03 Slap 3: Name of Todna unit Tax Year Date of Amount Refund amt Give the tax find Pay ment aid R oast payment razos Count 2003 01 /31 /2004 $469.97 $238.51 Information ei's reason for refund (attach supporting documentation): Ove ent Step 4: h ply for the refund of the above-described taxes and certify that Sign the form iW I have given on this form is tnw coreot." date > r a false on this appiicatfon, Id be found guitty of a sdemeanor or a state jail felony under Texas 1 Code Section 37.10. Step 5: nd is [ Approved Disapproved Tax refund offic er determination date officer of taxing unit r refund applications over amount required under 11 Tax Code rnh:e date > APPLICATI N FOR TAX RFFUNn Collecting office Brazos Coun 300 E. Wm J. Bryan Texas Tax Office an Pkw j Phone Number 803 979-Ml-4470 Collec ft- tax tor: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a r^l-°-m V in Banks Step 1: Owners name Levens, John F Jr & Karen D 4200 Autumn Cir and address Bryan, Texas 77802 Phone ~a~-s~ 3 (300 Step 2: Description Describe the Ridge "mW # 4, Block 7, Lot 9 Property Address or Location 0 Autum Or # or Tax Receipt # 201 "W Is 9 a 10 ; Step 3: ! Give the tax lAm o f Taxing unit Tax Year Date of Amount Refund amt i of refund Payment Paid Reauested payment razos Count 2003 12/29/2003 $678.60 $252.00 Information ens reason for refund (attach supporting documentation): -Overpayment b Mortgage Co Step 4: y apply for therefund of the above-described taxes anal certify tat Sign the forth kftwm&xA have given on this forth ' true and correct." [ Ifo gn re > date > make a false statement on this application, you could be found guilty of a misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: i llhis tax refund is [ Approved [ ] Disapproved Tax refund ~rthorlzedl officer determination ~Ign here > date > "ortzed officer of taxing u for re-MR-d applications over amount required undo" M-Hon 31.11 Tax Code n here > date > APPLICAT N FOR TAX REFUND Collecting office CoBecting tau for: (taxing units) Brazos Coun Tax Office Brazos County, City of Bryan. City of College station 300 E. Wm J. I ryan Pkw) Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4 City of Kurten Bryan Texas 803 979361-4470 , MAKE PAYABLE TO: To apply for a refund, the er must corn lets the followin : Suntrust Step 1: owners name Lindgren, Erik and address 3006 Jennifer Dr Phone College Station, Texas 77845-5722 Stop 2: Legal DwA*w Describe the wood Valle PHS 9, Block 9, Lot 8 property or Location ennifer Dr or Tax Receipt # F 41 9 Strap 3: of Taxina unit Tax Year Date of Amount Refund amt Give the tax of refund PayPaid Rguested payment County 2003 01 /31 /2004 $674.10 $265.50 information axpayers reason for refund (attach supporting documentation): -Overpayment Stop 4: hereby apply for the refund of the above-described taxes and certify that Sign the form information I have given on this form is true and correct." ign date > you false statement on this application, you could be found guilty of a Blass A misdemeanor or a state jail felony under Tex!! P I Code Section 37.10. Step 5: is tax refund is Approved [ ]Disapproved Tax refund A uthorized officer determination ! gn here > date > ufhorized officer of taxing unit refund applications over amount required u on 31.11 Tax Code gn here > date > VOL 53 PAGE ;)4q ~1C1~7(p~ APPLICATI N FOR TAX REFUND Ong Office Brazos COu 300 E. Wm J. an Texas Tax Office an Pkvh Phone N 803 e7e- 1 470 collecting tax for (taxing units) Brazos County, City of Bryan. City of college Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE T0: To apply for ' Vel in Bank s Stop 1: Ownses tarns Massey, Charles J & Elfriede A 4806 Winchester Dr and address Bryan, Texas 77802 Phone Step 2: OVal Description Describe the d # 10C, Block 6, Lot 4 property Address or Location 06 Wmhester Dr AOct# or Tax Receipt # . 104465 q Stop 3: Give the tax Name of Taxina unit Tax Year Date of Amount Refund amt refund Payment Paid Reauested payment razos County 2003 12/29/2003 $823.65 $589.71 Information sea reason for refund (attach supporting documentation): P-Ov ment b Mortgage Co Stop 4: hereby apply for the refund of the above scribed taxes and certify that Sign the foam Informatiorl I have given on is fort is true and sorted." gn here > ca~ date > ` ~Q Q you make a false statement on this application, you could be found guilty of a A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: is tax refund is [ Approved [ ] Disapproved Tax refund ortzed officer determination gn here > date > officer of taxing un for nd applications over amount required und6r on 31.11 Tax Code n here > date > VOL 53 PAGE a 45 I, APPLICATI N FOR TAX REFUND Collectlng Office Brazos Coun 300 E. Wm J. Bryan Texas Tax Office ryan Pkwj Phone Number 803 979-361-4470 Collecting taut for: (taxing unb) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3. R. City of Kurten MAKE PAYABLE TO: To apply for a refund, the UxMer must complete the fbilovAng: Stop 1: owners name Some Thin Fishy, Inc. and address 1 Harvey Rd Phone liege Station, Texas 77840-3550 Stop 2: Describe the ~egel Deacxiption us iness Personal Prope_rty or Location "ran 001 Harvey Rd # Or Tax Receipt # 53 Step 3: Give the tax paymew I Name of Taxing unlit Tax Year Date of Amount Refund amt refund Payment Paid Rem ed razos County 2003 01/31/2004 $333.23 $100.16 Information Taxpayer's reason for refund (attach supporting documentation): P-Overpayment Step 4: Sign the form hereby apply for the refund of the above-described taxes and certify that Information I have given on this form Is true and correct" ign hem > date > 3 ° O i t you make tatement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas P nal Code Section 37.10. Step 5: Tax refund determination is tax refund is Approved [ ] Disapproved uthodzed officer gn here > date uthorized officer of taxing u for nd applications over amount required undef - Of 11/1 on 31.11 Tax Code gn here > date > APPLICATI R TAX REFUND Collecting Oltrxx Brazos Coun 300 E. Wm J. Bryan Texas Tax Office ryan Pkw) Phone Number t803 979-381-4470 Collecting tax for (taxing units) Brazos County, City of Bryan. City of College Station Bryan ISD College F4, City of Kurten E P YABLE TO: j, To a 1 for a refund, the taxpayer must complete the followin : Stop 1: Owner's name 8rR Plant Nurse Dr C A Emst and address 00 S Texas Ave Phone an, Texas 77802 Stop 2: Describe the 1 Description uSlneSS Personal Property prop" or Location ess Rd # Or Tax Receipt # 101592 Stop 3: Give the tax payment Name of Twdna unit Tax Year Date of Amount Refund amt refund Payment Paid Requested razos Count 2003 02/19/2004 $486.69 $268.11 Information axpayer's reason for refund (attach supporting documentation): Ove ment Step 4: Sign the form I hereby apply for the refund of the above-described taxes and certify that information I .have given on this form is true and correct." ign here > date o2S t`_7 you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas I Code Section 37.10. Step 5: Tax refund determination is tax refund is [ Approved [ ] Disapproved uthorized officer ign here > date > uthorized officer of taxing u for refund applications over amount required and ee, Section 31.11 Tax Code ign here > date > St VOL 53, PAGE -?4/ APPLICAT IAN FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J B an Texas ax Office an Pkw) r803 Prone Number 979-361.4470 Collaring tax for: (~,g units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, Cky of Kuten MAKE PNABLE TO: j To apply for a, 4x refund, the taxpayer must complete the followin : C#Mnancal Stop 1: owners name Rust, Wilfred and address 3016 Tennessee Ave Phone Bryan, Texas 77803-1037 Stop 2: Doscrlbe the Legal Description Lynndale Acres #1, Block 3, Lot 9 property Address or Location 16 Tennessee Ave # 31782 Or Tax Receipt # Stop 3: Goo the tax payment Name of Taxina unit razos Count Tax Year Date of Amount Refund amt refund Payment Paid Reauested 2003 02/29/2004 $140.95 $140.95 Information i =Pentl~ for ( su 'ng deco Stop 4: sign the f , hereby apply for information I en ! the taxes and certify that j this ftm is and correct." Ign hem tTlnancial (lass A m nor or AU Huang Equity application, you could be found gultty , Box 142649 state jail felony under Texas I Code Sectional jft, TX 75014.2649 Step 5: Tax refund determination is tax refund is Aiorized offl here> ( Approved ( ]Disapproved date > offtcor of taxing unit for nd applications over amount required un 11 Tax Code F179n> dat e > oL, 63 PAGE, ~ APPLICATIQN FOR TAX REFUND 8 Mince Collecting tax for: (taxing unite) Brazos Coun ax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J. an PkM Phone Nuffd)w f Bryan ISD, Collage Staton ISD, F1, F2, F3 F4 City of Kurien B an Texas 8103 9793131-4470 , , MAKE PAYABLE TO: To apply for a - V in Banks Stop Schoeneman, Marvin & Cynthia Owner's name 804 S Bryan Ave and address Bryan, Texas 77803 Phone ~d~~ S~ 3-130 Stop 2: Deacd Describe ttN E Wallace, Lot 1 Pt of property rass or Location S Bryan Ave or Tax Receipt # Stop 3: ] 11 me of Taxina unit Tax Year Date of Amount Refund amt E Give the tax of refund PayPaid Rea payment os County 2003 12/29/2003 $546.05 $393.15 information ' yens reason for refund (attach supporting documentation): t pa P-Ove ment b Mortgage Co # Stop 4: hereby apply for the refund of the above-described taxes and certify that Sign the form i ' I have given on this form is true and correct." I, n here > dato > p~ )rou make a false statement on this application, you could be found guilty of a lass A misdemeanor or a stato jail felony under Texas P I Code Section 37.10. Step 6: is tax refund is [ Approved [ ] Disapproved Tax refund ~rt1wized officer determination n here > date > *Oxmized officer of taxing re nd applications over amount required under on 31.11 Tax Code n here > date > VOL 53 r GE ?~9 APPLICAT1604 FOR TAX REFUND CoNec~ing OfRce Collecting tax for. (taxing urns) Brazos Coun Tax Office Brazos county, city of Bryan, city of college Station 300 E. Wm J. an Pkw) Phone Number Bryan 1813, College Station ISD, F1, F2, F3, F4, City of Kurten Bryan Texas 3 979-361-4470 MAKE PAYABLE TO: To apply for a refund, the bugmyer must complete the following: Step 1: Owner's name il er er, David & Melinja and address Col a View Dr Phone ti n, Texas 77801 Stop 2: Description Describe the 14orth Oakwood, Block 14, IOt 6 property ~ddrew or Location VlCollege View Dr # or Tax Recxtpt # 34492 Stop 3: Name of Taxino unit Tax Year Date of Amount Refund amt Give the tax end P nt Paid Reauested payment razos County 2003 01/31/2004 $855.36 $250.27 Information i "payer's reason for refund (attach supporting docunwdation): PP-Overpayment Stop 4: ~Ijhereby applyfor refund of the at es and certify that Sign the form hie information given on this form is true 'correct." n here > date > 3 f O qPF Yrou make a false statement on this application, you could be found guilty of a ass A misdemeanor or a state jail felony under Texas I Code Section 37.10. Step b: is tax refund is Approved [ ]Disapproved [ Tax refund rthorized officer determination n here > date uthortzed officer of taxing for refund applications over amount required and on 31.11 Tax Code n hem > date > VOB 53 PAGE 250 APPLICAT ON FOR TAX REFUND Collecting °Ilica Brazos Coun 300 E. Wm J. Bryan Texas TeX Office ryan Pkwy Phone Number 803 979al4470 Collecting tax for. (taxing unite) Brazos County, City of Bryan, City of College Station Bryan ISD, College station IsD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE T0: To apply for a refund, the er must comp lete the following: Stop 1: owners name Smith, Alfred C & Patricia A and address 10942 Hollow Rd Phone A10) 6 9-S Helotes, Texas 78023-4255 Stop Z: Descries the Description 0224400 James Walker, Tract 2, Acres 2.15 Property or location 1555 Sh-6 S # 16726 or Tax Receipt # Stop 3: Give the tax payment Name of Taxing unit razos County Tax Year Date of Amount Refund amt of refund Payment Paid Reauested 2003 01 /31 /2004 $476.84 $452.44 tnforr,ation i taxpayer's reason for refund (attach supporting documentation): 0-Overpayment Stop 4: Sign the form hereby apply for the refund of the above-described taxes and oertity that information I have given on this form is true and correct." y V,11 a4 I ign here date > you make a false statement on this a lass A misdemeanor or a state jail ication, ou could be found guilty of a u axes P I Code Section 37.10. Step 5: Tax refund determination is tax refund is uthorined officer gn here > [ k-r Approved [ ] Disapproved Wile > uftwized officer of taxing unit r refu on 31.11 Tax Code gn here > applications over amount required under date > VOL_ 63 -PAGE APPLICATI N FOR TAX REFUND Colleting Office - Collecting tax for (taxing unite) Brazos Coun Tax Office ' Brazos County, City of Bryan, City of College Station 300 E. Wm J. ryan Pkwj Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten Bryan Texas 803 979-361-4470 MAKE PAYABLE TO: To M4AY fora I OK refund, the er must Coat ete the followin : SUP 1: 0~* narrrs h, Herman L & Frances Elizabeth V and address Hyde Park Ln Phone ryan, Texas 77802-5910 step 2: (egal Description Ins crlbe the CMV&field #9, Block 28, Lot 3 Property k1dress or Location - Hyde Park Ln Or Tax Receipt # F 23 Zp 3: N me of Taxina rt Tax Year Date of Amount Refund amt Give the tax of refund Pavmerrt Paid guested payment Brazos County 2003 01/1312004 $1,755.40 $252.00 Information yens reason for refund (attach supporting documentation): P-MTG Ove ment refund to Owner Step 4: hereby apply for the refund of the above-described taxes and certify that Sign the form information 1 have given on this form is true and correct." nhere> date > 20 you make a false statement on this application, you could be found guilty of a ass A misdemeanor or a state jail felony under Texas Code Section 37.10. Step 5: is tax refund is [ Approved [ ] Disapproved Tax refund Imd officer determination rnre > date > officer of taxing unit refund applications over amount required under on 31.11 Tax Code n here > date > VOL 53 GE ?S-Z APPLICATI N FOR TAX REFUND ..............y v... 1 Igo Collecting tax Ibr: (taxing units) Braws Cou Tax Ofifice Brazoa County, City of Bryan, City of Collage Station 300 E. Wm J. ryan Pkwj Phone Num Bryan ISD, College Station ISD, F1, F2, F3, F4 City of Kurten Bryan Texas 803 979361-4470 , MAKE PAYABLE TO: To a for a - ~ - a l tW Corp. VeJgin Banks - step 1: S pears, Christopher Owners name PO Box 3956 andaddross Bryan, Texas 77805 Phone 6a~- 3-13(30 Stop 2: Legal Description Describe the 2800 Maria K n OCL , Tract 37.6 Acres 5.0 Property ss o r Location 2196 Sh-30 # or Tax Receipt # 12253 Step 3: Name of Taxing unit Tax Year Date of Amount Refund amt Give the tax of refund Payment Paid Requested payment razos County 2003 12/29/2003 $798.62 $252.00 information yens reason for refund (attach supporting documentation): P-Overpayment b Mortgage Co Step 4: hereby apply for the refund of the above-described taxes and certify that Sign the form information I have given on is form is true and correct." n here > date > - G .you make a false statement on this application, you could be found guilty of a ass A misdemeanor or a state jail felony under Texas P 1 Code Section 37.10. Step 5: is tax refund is [ Approved [ ] Disapproved Tax refund orized officer determination n here > date > cer of taxing u refund applications over amount required unde on 31.11 Tax Code n here > date- APPLICATI N FOR TAY RFFI INn Collecting office Brazos Coun 300 E. Wm J. B an Texas ' Tax Office ryan Pkw) Phone Number 803 e7s.3s1-447o Collecting tax for. (tsAng units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the er must complete the followin : Stsp 1: Owner's name em leton, Robin Lee and address 11 Harrow Ct Phone an, Texas 77802 Stop 2: Describe ins Description erfield #1, Block 6, Lot 9R & 1OR Property *Adress or Location Harrow Ct V or Tax Receipt # 4543 Step 3: Give the tax payment Name of Taxing it Tax Year Date of Amount Refund amt of refund Payment Paid Reauested razos County 2003 01/13/2004 $676.47 $252.00 infonmation yees reason for refund (attach supporting documentation): e a ent refund to owner Step 4: Sign the form hereby apply for the refund of the above-described taxes and certify that information I hpieyglven on this form is ftW and correct." gn date 3 you make a false statement on this a Iication, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Code Section 37.10. Step 5: Tax refund determination is tax refund is [ Approved I ] Disapproved trthorized officer it gn here > date > officer of taxing unit nd applLcations over amount required under on 31.11 Tax Code gn here> date > !3 e a ll ekr'-e S 5- S 3 A-1-fr-e"h -j>; VOL 53 PAGE ~25* APPLICA1JON FOR TAX REFUND q v...w !7-.I Collecting tax for (te711ng units) Brazos Cou Tax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J ; Bryan Pkw) Phone Number Bryan 1813, College Stetion ISD, F1, F2, F3, F4, City or Kurten Bryan Texas; 803 979361-4470 MAKE PAYABLE TO: To apply for a *tx refund, the taxpayer must complete the followin : Eleanor Williams Step 1: Dwners name Toliver, Viola Est C/O Robinson, Vanee Mrs mrd address Fig BmHJM7- 7 9 3 7 41tll-V t9 L4 Step 2: Legal Description )ascribe the A014600 Joseph Jordan, Tract 1.9, Acres 23.75 y rem or Location FToxnkaway Lake Rd R15356 3: Name of Taxlna unit the tax lent Brazos Countv Or Tax Receipt # Tax Year Date of of refund Pavmerrt 2003 01 /31 /2004 07 Amount Paid r axpayers reason for refund (attach supporting documentation): OP-Overpayment Step 4: 1 hereby apply for the refund of the above-described taxes and certify that Sign the form information I 9WO on this is true nd Ign here > date > 7 Jti If you make a false stateme n this application, you could be found guilty of a Mass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: This tax refund is [ Approved [ ]Disapproved Tax refund uthodzed officer d etermination ign here > date 4E~ uthorized officer of taxing u for refund applications over amount required under on 31.11 Tax Code gn here > date > Ms. L'lean 7931 Old J. Williams and Hwy. Apt. 8 Anchorage'' AK 99518 2 /"O A X 717 l? sic c)tA'C7 C', Ty i ~ i~c S ~oL(C ~e S/4:' 7, /0 OT F~DU'SrOo VOL 53 PAGE 2,55 301,6 Refund amt Reauested APPLICAT N FOR TAX REFUND Collecting office Brazos Cou Tax Office Brazos C~-Y. -7 Bryan, CKY of College Station 300 E. Wm J.'. ryan Pkw) Phone N Bryan ISD, College Station ISO, F1, F2, F3, F4, City of Kurten Bryan Texas 803 979381-4470 MAKE PAYABLE TO: To apply for a refund, the !WMer must com ete the follows : Jeremy's Golf Step 1: owners name Tumer, Ma $ Wanda Goss Etal C/O Hargrave, James and address 1015 Sunrise Ct Phone Cedar Hill, Texas 75104-6251 Stop 2: Legal Description Describe the 001300 Samuel Davidson, Tract 46, Acres 50.0 prop" or Location - ban Or Taos Receipt # 0 F13razos Ro der Rd Stop 3: Tax Year Date of Amount Refund amt Give the tax of refund PayP Rea payment Count 2003 02/19/2004 $58.53 SIAR AF reason for refund (attach supporting Stop 4: hereby apply far ' nd of the above-described taxes certify that Sign the form information I emtAn= is true a gn here date > you make a false statement on this application, you could be found guilty of a Klass A misdemeanor or a state jail felony under Texas Psinal Code Section 37.10. Stop 5: is tax refund is [ Approved [ ] Disapproved Tax refund uthorized officer determination tnhere date > offic er of taxiI-or refund applications over amount required under 11 Tax Code dato > VOL 53 PAGE 25 0 APPLICATI N FOR TAX REFUND Coming Office Collecting tax for: (taxing units) Brazos Coun Tax Office Brazos County, City of Bryan, city of college station 300 E. Wm J. ryan Pkw) Phone Nu mber Bryan ISD, College Station ISD, F1, F2, F3, F4 City of Kurten Bryan Texas 803 979-Wl-"70 , MAKE PAYABLE TO: To apply for a - - ~----1--- Ler t V i C e a orp. n Banks stop 1. Vick, Gary & Diane Owners name 942 Sun Meadow St and address College Station, Texas 77845 Phone 1~ ~:(~~S~ 3-13oc Stop 2: regal Deacriptbn Describe the un Meadow # 1, Block 1, Lot 2 property or Location tI2 Sun Meadow St Acct # 1. 109717 Or Tax Receipt # 3 S I Stsp 3: Name of Taxfna unit Tax Year Date of Amount Refund amt Give the tax of refund Pavrtnent Paid Rego payment Brazos County 2003 12/29/2003 $820.86 $265.50 yens reason for refund (attach supporting documentation): P-Overpayment b Mod gage Co Stop 4: rass apply for the refund o f the above-described taxes and certify that Sign the form mation I gthis form is true and correct." C-M e > date > a ake a false statement on this application, you could be found guilty of a misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: is tax refund is Approved Disapproved Tax refund WtIvrized officer determination n here > date > car of taxing u for refund applications over amount required under on 31.11 Tax Code Zn here > date > VOL E53 PAGE 257 APPLICATION FOR TAX REFUND w...w ,q cc Brazos Coun Tax Office 300 E. Wm J. ryan Pkvv) Phone N Bryan Texas 803 979-3e1-"70 To apply for a refund, the !axMer must com ete the Xing tax for: (taxing unh) Braaos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: Step 1: 3wnsraname ! Wang, Zi'un & Yiqing Yang urd addrew 704 As ter Dr Phone I e Station, Texas 7784,1 go - 6g s- ~q S6 Hop 2: al Description )ascribe the - dehveiss Estates Ph2, Block 7, Lot 3 P or Location 04 Aster Dr a or Tax Receipt e 94043 tsp 3: Name of Taxing nit Tax Year Date of Amount Refund amt iive the tax of refund PavmeM Paid age nested ■Yment razos County 2003 01/13/2004 $863.32 $265. iformation ees reason for refund (attach supporting documentation): HoM¢ yt ex.e.vri , on P-MTG Overpayment refund to Owner bP 4: 1hereby apply for the r~,d of the above-described taxes and certify that gn the form formation I have giv_qn on this form is true and correct" [ here > I/ VV2X W%111- I"qw* v2 logo make a false statement on this application, you could be found guilty of a A misdemeanor or a state jail felony under Texas Code Section 37.10. ep 5: is tax refund is I Approved [ ] Disapproved X refund officer termination On here > date > tltorized officer of taxing u for refund applications over amount required undii,0 0 on 31.11 Tax (:ode n here > Nate > APPLICATION FOR TAX REFUND N Ong office Brazos Cou 300 E. Wm J B n Texa f e ax Office an Pkw) Phone Number 03 979,361-4470 Coll ecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply fora refund, the taxpayer must complete the follovAng: Step 1: owners name ams, Lesley V & Ma Ruth and address Laurel St F Phone ryan, Texas 77801-3613 3 cl g 6 3 7 l Step 2: Describe the Description niertxnok Ph 1, Block 2, Lot 9-10 Pts of propww or Location Laurel St # or Tax Receipt 439 r18 Sbp 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reguested razos Count 2003 12/18/2003 $309.76 $8.04 information V0")ayees reason for refund (attach supporting documentation): ve ent Step 4: Sign the form hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." ign hens > _ date > you make a false statement on this application, you could be found guilty of a 41aas; A misdemeanor or a state jail felony under Texas P I Code Section 37.10. Step 5: Tax refund determination is tax refund is [ Approved I ] Disapproved uttwrized r office gn here > date > uthortzed officer of taxing unit refund applications over amount required under on 31.11 Tax Code gn here > Idate > °t 63 ~f; X59 APPLICATION FOR TAX REFUND w...rw.7, v..w.v 1 IR Collecting tax for (taxing units) Brazos Coun Tax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J. ryan Pkw) Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten Bryan Texas 803 9793614470 MAKE PAYABLE TO: To aWy for a L@feta Corp. V in Banks Stap1. Woodward, Casendra L & Troy Shane Owner's name 203 Harvard Ct and address College Station, Texas 77840 Phone Moab-s~3-i3~o Stop 2: regal Description - Describe the 13ntwood # 2, Block 4, Lor 26 Property roes or Location 01 Harvard # or Tax Receipt # 18956 I Stsp 3: Name of Taxh~a unM Tax Year Date of Amount the tax of refund Payment 2003 12/29/2003 Refund amt Paid Rea .05 Maxpayers reason for refund (attach supporting documentation): P-0ve a ent b Mortgage Co Step 4: Fby r the refund of the above-described taxes and certify that Sign the form ave given on this form is true and correct."date > se statement on this application, you could be found guilty of a anor or a state jail felony under Texas Penal Code Section 37.10. Stop 5: is tax refund is [ Approved [ ] Disapproved Tax refund rized offi cer determination n here > date officer of taxing for nd applications over amount required und6r #100 on 31.11 Tax Code n here > date > .2 6, 0 APPLICAT 6N FOR Tax RFFf1Nn Collecting Office Brazos Coun 300 E. Wm J. ~l Bryan Texas Tax Office ryan Pkwy Phone Number 803 979-361-470 Collecting tax for. (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kuxten MAKE PAYABLE TO: To awy for a i ix refund, the U"yer must complete the followin : Spence 8r Schuster Stop 1: Owners name W ola, Cindy and address 3411 High Country Dr Bryan, Texas 77808-6019 Step 2: Describe the legal Description High Country # 1, Block 1, Lot 5, Mh Label # NTA1171359, Acres 2.20 property Address or vocation 3411 High Country Dr Acct # or Tax Receipt # R1 W892 Stop 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested razos County 2003 02/06/2004 $1,284.67 $987.43 Information "payees reason for refund (attach supporting documentation): ve ent Step 4: Sign the form hereby apply for the the e-described taxes and certify that information I have is bW and ign here > date > ri If you make a false statement on this application, you could be and guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination this tax refund is Approved [ ] Disapproved i uthorized officer ign here > date > uthorized officer of taxing un or refund applications over amount required un Section 31.11 Tax Code ign here > date > ii k vV PAGE CT ~f I APPLICAT N FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas ` Tax Office ryan Pkwy Phone Number :803 979-361-4470 Collecting tax for. (taxing units) Brazos County, City of Bryan, Cnyy of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, Clly of Ku ten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the following: Stop 1: Ownses rams Zamora, Humberto $ Elrsa and address 1308 Forest Ln Phone Bryan, Texas 77803 Step 2: Describe the Legal Description Bakers Forest Field, Lot 25,26 property real or Location 1308 Forest Ln j # Or Tax Receipt # 17602 Stop 3: Give the tax payment j Name of Texhw unit Tax Year Date of Amount Refund amt of refund Payment Paid nested razos Count 2003 11/11/2003 $264.67 $127.12 Information i axpayers reason for refund (attach supporting documentation): P-Overpayment Stop 4: Sign the form 1 hereby apply for the refu the above-described taxes and certify that information I e on 's ' true and correct." ign he!jj O date > 03 -O Z- O Of you make a false statement on this application, you could be found guilty of a Mass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. i -1- Step 5: Tax refund determination is tax refund is [ Approved [ ] Disapproved Authorized officer ign here > date > Authorized officer of taxing u for refund applications over amount required under Oection 31.11 Tax Code sign here > date > APPLICATION FOR TAX REFUND Collecting Office Brazos Cou 300 E. Wm J. Bryan Texas me y Tax Office JlBryan Pkwy Phone Number 803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, 173, F4, City of Kurten To apply for a J x refund, the taxpayer must complete the following: Step 1: Owner's name and address ! 7711 Corporation PO BOX BJ Phone College Station, Texas 77841 Step 2: Describe the ! Legal Description Lease 021997 Higgins (Giddings Austin Chalk , 7711 Corp, property Address or Location Acct # or Tax Receipt # N8834331 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reguested Brazos Count 2003 11/7/03 2.09 $2.09 information Taxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form "1 hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and correct." sign here > date > j If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination j This tax refund is [..Approved [ ] Disapproved Authorized er sign here date > Authorized officer of amount required u er Section 31.11 Tax Csign here > date > -4 1 -Z ^E f ' r2 APPLICA ~ N FOR TAX REFUND .....w IA Collecting tan for. (taxing units) Brazos Cou Tax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J ryan Pkwy Phone N Bryan ISD, college station ISD, F1, F2, F3, F4, City of Ku,ten Bryan Texas 9803 g79-3s1. 470 MAKE PAYABLE TO: To apply for a refund. the bxpyer must complete the followfng: Stop 1: owners name Almanza Concrete, Inc. Ton Almanza and address 1 j 2105 Rockwood Or Phone Bryan, Texas 77807 Stop Y: 1 Legal Description Describe the Business Personal PropertyProPertY Address or Location - 2105 Rockwood Cir e Or Tax Receipt e P114390 Step 3: Name of Taxlna it Tax Year Date of Amount Refund amt Give the tax of refund Pavrt~nt Paid Requested payment Brazos Count 2003 11/12/2003 $103.09 $59.59 Infomration axpayer's reason for refund (attach supporting documentation): ter Supplemental # 6 for 2003 1-21-04 Stop 4: 1 hereby apply for the refund of the above-described taxes and certify that Sign the form information I have given on this form is true and corect." ign here > date > N You make a false statement on this application, you could be found guilty of a Glass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Tax refund Authorized - Step S: pgnhere> s [ Approved [ ] Disapproved determination date > z-0 cer of taxln for applicatt over amount required unde ax ~ daeel > 53 APPLICATI N FOR Tax RFFUNn Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas Tax Office ryan PkM Phone Number 803 979,361-4470 Collecting tax fur: (taxing units) Brazos County, City of Bryan, city of college Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the following: Step 1: Owners name ristis & Osteoporosis Coinic of The Brazos Valley Ricardo Pocurull MD PA and address j 801 E 29th St Phone n, Texas 77802 Step 2: Dsssribathe Description usiness Personal Property properhr ress or location - 801 E 29th St # or Tax Receipt # 113512 iw 3: Give the tax payment Name of Taxing unR Tax Year Date of Amount Refund ant of refund Payment Paid Reauested Brazos County 2003 11/13/2003 $54.38 $44.27 information Taxpayers reason for refund (attach supporting documentation): Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." ign here > date > you make a faire statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felonry under Texas Penal Code Section 37.10. Step b: Tax refund determination is tax refund is [ Approved [ ] Disapproved uthor lzed gn he date > 3D p uUK ized officer of taxi u for nd appiic ns over amount required undef /I *ction 31.11 Tax c n hero > date > 44~~* 1 I le , 53 PAGiL ;?65 APPLICATI N FOR TAX RFFI imn Collecting Office Brazos COun 300 E. Wm J. Bryan Texas me Tax Office ryan Pkwy Phone Number x803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply fora refund, the taxpayer must complete the following: Step 1: Owner's name Bell, Dennis L and address PO Box 162642 Phone Austin, Texas 78716 Step 2: Describe the Legal Description Lease 021997 Higgins (Giddings Austin Chalk)), 7711 Corporation, o 0.0025000, A000900 Thomas Carruthers OCL property ' ddress or Location - Acct # or Tax Receipt # 8834593 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested razos Count 2003 11/30/03 0.13 $0.13 information i taxpayer's reason for refund: ter Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form !1 hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and correct." ign here > date > If you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination this tax refund is [ proved [ ] Disapproved Authorized off _ ign here date > 7i~ Authorized officer of taxing u f refu pplicatio over amount required under $ection 31.11 Tax Code ign here > date > -4 K - 4-4 VOL 53 PAGE ~2tp(v APPLICATION FnR TAY RPM tun Ong Oft e Brazos Cou 300 E. Wm J. Bryan Texas Tax Office ryan Pkwj Phone Number 803 079-381-4470 Collecting tax for. (taxing units) Brazos County, City of Bryan, City of College station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kumar, MAKE PAYABLE TO: To apply for a t #x refund, the taxpayer must complete the follovAng: Soap 1: owners name Centex N College Station KRHD and address PO Box 548 Phone Lawton, Ok 73502 Stop 2: osscrtto the Legal Description B usiness Personal Property propeftfr or Location - Address 1716 Briar crest Dr, # 220 Acct# Or Tax Receipt # P111441 Stop 3: Give the tax Payment Name of Taxina unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested information razos Count 2003 12/22/2003 $435.00 $108.75 taxpayer's reason for refund (attach supporting documentation): er Supplemental # 6 for 2003 1-21-04 Stop 4: Sign the fore 01 hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." ign here > date > you make a false statement on this application, you could be found guilty of a ass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. [ Stop 5: Tax refund determination This tax refund is [ ]Disapproved #uUwrized r ign here. A > ZB utfrorized officer of taxi for d appl(catl over amount required unde tection 31.11 Tax Code. ign two > dato > LFZO4do' 00, -i VU( 53 PALL O'4(f~ APPLICATI FOR TAX REFUND Collecting 0moe Brazos Cou 300 E. Wm J. Bryan Texas lax Office yan Pkw) Phone Number 3 979-361-4470 CoaecOng tax for: (taxing units) Brazos County, City of Bryan, City of college station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the followin : Stop 1: owners name Ode, J Roland & Karen K and address 819 Hondo Dr Phone I e Station, Texas 77840 Stop 2: Describe the PVW Description $outhwood # 5, Block 3, Lot 21 property Address or Location 819 Hondo Dr Acd# Or Tax Receipt # 42258 Stop 3: Give the tax paymem 1 Name of Taxing unit Tax Year Date of Amount of refund Payment Paid 0razos Count 2002 12/20/2002 $492.50 Refund amt guested $310.95 Information j SXpeyers reason for refund (attach supporting documentation): er Su lemental# 18 for 2002 1-21-04 Step 4: Sign the form 1 hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." Ign here > date > you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination is tax refund is [ Approved [ ] Disapproved uthorized r sign here,4- date > ~D Authorized officer of taxing u refu icati over amount required under Section 31.11 Tax Code ign here > date > APPLICAT N FOR TAX REFUND oRioe Brazos Coun 300 E. Wm J. Bryan Texas Tax Office ryan Pkvw) Phone N 803 g79mW1 470 Copecting tau for: (taxing units) Brazos county, city of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the er must complete the followfng: Step 1: Owners name Cole, J Roland & Karen K and address 1819 Hondo Dr Phone [College Station, Texas 77840 Stop 2: Describe the LWW Description Souffmood # 5, Block 3, Lot 21 prop" Address or Location 819 Hondo Dr Or Tax Receipt # 42258 Step 3: Give the tax paymerd Name of Taxing unit Tax Year Date of Amount Refund amt of refund Pavmerrt Paid Reauested Brazos County 2003 12/17/2003 $516.74 $326.25 Information sxpayers reason for refund (attach supporting documentation): ter Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form M hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." ign here > date > you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a to jail felony under Texas Penal Code Section 37.10. Step 5: ax refund determination is tax refund is [ ell [ ] Disapproved authorized _ ign here fi1w date > Z ZB uthorized officer of taxing u refu lad amount required under "on 31.11 Tax Code Oign here > Idate > vet 63 AG a~q APPLICAT bN FOR TAX RFFUNn Collecting Office Brazos Cou 300 E. Wm J. Bryan Texas , me Tax Office ryan Pkwy Phone Number 71303 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply for a x refund, the taxpayer must complete the following: Step 1: j Owner's name I Dale, James W & Ralene and address { 4514 LO Hollow Dr Bryan, Texas 77803 Phone Step 2: Describe the Legal Description Norcross, Block C, Lot 1 property j l Address or Location - 4514 Lo Hollow Dr Acct # or Tax Receipt # R33908 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reguested Brazos Count 2003 11/24/03 295.89 $295.89 information Taxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form "1 hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and correct." sign here > date > If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination This tax refund is ( 44pproved [ ] Disapproved Authorized office sign here > date > Authorized officer of taxing or ref applicat s over amount required unde Section 31.11 Tax Code sign here > date > IX 53 POD a7a APPLICATION FOR TAY RFI`I imn Collecting Office Brazos Coun! 300 E. Wm J. Bryan Texas me Y Tax Office ryan Pkwy Phone Number 7803 979-361-4470 Collecting tax for. (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply for a x refund, the taxpayer must complete the following: Step 1: Owner's name oen, Grace E Testamentary Trust C/O Goen, Oliver F Trustee and address 3914 Bird Pond Rd Phone Colle a Station, Texas 77845 Step 2: Describe the Legal Description A005800 Augustus Williams, Tract 3, Acres 23.6999 property Address or Location - 3887 Bird Pond Rd Acct # Or Tax Receipt # R14012 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reguested Brazos County 2003 1/5/04 51.63 $42.32 information Taxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form "1 hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and correct." sign here > date > If you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination fhis tax refund is [ proved [ ] Disapproved uthorized r ign here > date > f uthorized officer of taxing u refun pplicatio over amount required under l5ection 31.11 Tax Code ign here > date > APPLICATI 'N FOR TAX RFFII imn Collecting Office One Collecting tax for: (taxing units) Brazos Count ' Tax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J. O,tyan Pkwy Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten Bryan Texas 1 7803 979-361-4470 To app! for a t refund, the taxpayer must complete the following: Step 1: Owner's name !Gann, Jan W and address "1021 Muirfield VI Phone Colle a Station, Texas 77845 Step 2: Legal Description Describe the Pebble Creek # 1 C, Block 7, Lot 1 property Address or Location - 1021 Muirfield VI Acct # or Tax Receipt # P88874 Step 3: Name of Taxing unit Tax Year Date of Amount Refund amt Give the tax of refund Payment Paid Reauested payment Brazos County 2003 12/31/03 1358.94 $326.25 information Taxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: 1 hereby apply for the refund of the above-described taxes and certify that Sign the form a information I have given on this form is true and correct." Sign here > date > If you make a false statement on this application, you could be found guilty of a IOlass A misdemeanor or - tate jail felony under Texas Penal Code Section 37.10. Step 5: This tax refund is Approved [ ] Disapproved Tax refund Authorized o determination gn here date > Authorized offs er of taxing or ref applicaf ns over amount required under Section 31.11 Tax Code gn here > 14 date > APPLICATION FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas me , Tax Office cyan Pkwy Phone Number 4803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply for a t , refund, the taxpayer must complete the following: Step 1: Owner's name Greenwood, Ka & Jim and address 13 Lori Ln Phone Colle a Station, Texas 77845 Step 2: Describe the egal Description !Harvey Hillsides, Block 2, Lot 3, Acres 1.72 property ! ddress or Location - S Lori Ln Acct # or Tax Receipt # 828561 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reguested Brazos County 2003 12/17/03 $1,233.40 $326.25 Information Taxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form 1 hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and correct." ign here > i date > 'If you make a false statement on this application, you could be found guilty of a Mass A misdemeanor or to jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination this tax refund is ( 1410Approved [ ] Disapproved Authorized o _ abign here > Qyl, date > 2p Authorized officer o taxing u r refu pplicati s over amount required under Section 31.11 Tax Code Sign here > date > J: Z / '0H 53 f) Gr X73 APPLICATI N FOR TAX REFUND Collecting Office me Collecting tax for: (taxing units) Brazos Court Tax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J. ryan Pkwy Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten Bryan Texas X803 979-361-4470 To apply for a refund, the taxpayer must complete the following: Step 1: Owner's name Hall, Wenda Jill & Jay L and address 2104 Fairfax Phone College Station, Texas 77845 Step 2: egal Description Describe the foxfire #2, Block 6, Lot 10, Acres 1.91 property Address or Location - ,2104 Fairfax Acct # or Tax Receipt # 7574 Step 3: Name of Taxing unit Tax Year Date of Amount Refund amt Give the tax of refund Payment Paid Reguested payment ! razos County 2003 12/29/03 879.92 $326.25 information i t'axpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 I Step 4: I hereby apply for the refund of the above-described taxes and certify that Sign the form the information I have given on this form is true and correct." ign here > date > If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or state jail felony under Texas Penal Code Section 37.10. Step 5: This tax refund is pproved [ ] Disapproved Tax refund $Luthoriz c K determination ' ign he date >2; -=-e w Authorized officer of taxing for r d appli tions over amount required and $ection 31.11 Tax Code ign here > date > Z 0t 53 oAC a~'~ APPLICATI N FOR TAX REFUND Collecting Office. Brazos Coun 300 E. Wm J. Bryan Texas me Tax Office ryan Pkwy Phone Number 803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply for a refund, the taxpayer must complete the following: Step 1: Owner's name Heartland Resources Inc C/O She erd, Joe and address 1 S 1st St Phone Tem le, Texas 76501-7603 Step 2: Describe the Legal Description Lease 021997 Higgins (Giddings Austin Chalk , 7711 Cor ation, W 0.0385000, A000900 Thomas Carruthers OCL property Address or Location - Acct # or Tax Receipt # N8875865 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested Brazos Count 2003 12/18/03 1.13 $1.13 information Taxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form i I hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and correct." sign here > date > i If you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination his tax refund is [ pproved [ ] Disapproved uthorize ign here date > 7.Q l Authorized officer of taxing it r ref applicat' s over amount required under ;Section 31.11 Tax Code isign here > date > APPLICAT IbNI FOR TAX Rt=FiiNn Collecting kklice Brazos Coun 300 E. Wm J B an Texas 'ax Off ice an Pkwj Phone Number 3 979-361-4470 Colle~ng tax for: (taxing unb) Brazos County, Cuy of Bryan, City of College Station Bryan ISD, Cortege Stallon ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To a I for a refund, the Wpayer must complete the follows : Step 1: owners hams HM College Station L.P. Marriott International L.P. Dept 938.01 # 5AQ and address 1 Marriott Dr Phone Washington, DC 20058-0001 Stop 2: Describe the Legal Description 1300 Univ Dr E property or Location - er #1, Block 1, Lot 1, Acres 2.498 # or Tax Receipt # 101808 Stop 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested razos Court 2002 12/31/2002 $19,451.25 $2,038.05 information j i 'taxpayers reason for refund (attach supporting documentation): Step 4: Sign the form i hereby apply for the refund of the above-described taxes and certify that I!M information I have given on this form is true and correct." r ign hem > date > If you make a false statement on this application, you could be found guilty of a Mass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step S: Tax refund determination fink tax refund is [ Approved I ] Disapproved (uth Ign he date >2;2!Lz~ 0~ officer of taxing unit nd ications amount required under Seaton 31.11 Tax Code Ign here > date > APPLICATI N FOR TAX REFUND Collecting Office me Collecting tax for: (taxing units) Brazos Coun Tax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J. ryan Pkwy Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten Bryan Texas 803 979-361-4470 To apply for a refund, the taxpa er must complete the following: Step 1: owner's name Inco Oil Corporation and address 4201 Lomo Alto # 211 Phone Dallas, Texas 75219 Step 2: Legal Description Lease 021997 Higgins Giddings Austin Chalk , Describe the 7711 Corporation, W 0. 1284550, A000900 thomas Carruthers OCL property ddress or Location - Acct # or Tax Receipt # IN8875862 Step 3: Name of Taxing unit Tax Year Date of Amount Refund amt Give the tax of refund Payment Paid Requested payment Brazos County 2003 10/28/03 3.78 $3.78 information 'taxpayer's reason for refund: er Supplemental # 6 for 2003 1-21-04 Step 4: I hereby apply for the refund of the above-described taxes and certify that Sign the form the information I have given on this form is true and correct." Sign here > I date > If you make a false statement on this application, you could be found guilty of a Mass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: this tax refund is [ proved [ ] Disapproved Tax refund Authorized o determination ign here > date > '0 Authorized officer of taxing uni r efun plicatio over amount required under section 31.11 Tax Code sign here > date > f ~7 7 AIM. 53 PAGE APPLICATI N FOR TAX RFFMn Collecting Office me Collecting tax for: (taxing units) Brazos Coun Tax Office Brazos County, City of Bryan, City of College Station 300 E. Wm J. ryan Pkwy Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten Bryan Texas 803 979-361-4470 To apply for a t refund, the taxpayer must complete the following: Step 1: Owner's name Krohn, Betty M and address Po Box 1992 Phone Bryan, Texas 77806 Step 2: ! Legal Description Lease 021997 Higgins (Giddings Austin Chalk , Describe the 7,711 Corporation, R 0.0666670, A000900 Thomas Carruthers OCL property okddress or Location - Acct # or Tax Receipt # N8834589 Step 3: Name of Taxing unit Tax Year Date of Amount Refund amt Give the tax of refund Payment Paid Requested payment Brazos Count 2003 11/4/03 3.87 $3.87 information Taxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: 11 hereby apply for the refund of the above-described taxes and certify that Sign the form the information I have given on this form is true and correct." ign here > date > If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: 'this tax refund is [ Approved [ ]Disapproved Tax refund Authorized o determination igign here date > Z~J Q Authorized officer of taxing un' r fund lication over amount required under Section 31.11 Tax Code ign here > date > 74 OF Z VU 53 P G 4. ~7 APPLICATILN FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas me Tax Office ryan Pkwy Phone Number 7803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply fora i ox refund, the taxpayer must complete the following: Step 1: owner's name Lowe's Home Center Inc # 103 Attn: Tax Dept and address Po Box 1111 Phone North Wilkesboro, NC 28656-0001 Step 2: Describe the Legal Description Lowe's Addition # 1 Block 1, Lot 1, Acres 19.39 property Address or Location 3225 Freedom Blvd Acct # or Tax Receipt # R96797 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested Brazos County 2002 2/21/03 27555.63 $4,442.84 information i i ; i axpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form i ,'1 hereby apply for the refund of the above-described taxes and certify that he information I have given on this form is true and correct." isign here > date > Of you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund , determination a his tax refund is [ proved [ ] Disapproved Authorized o R a ign here date > thorized officer of taxing uni refund ications o r amount required under Oection 31.11 Tax Code Sign here > date > IM 4 53 n cif,- D-7? APPLICATI N FOR TAX RFF11Mn Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas me ' Tax Office ryan Pkwy Phone Number 1803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply for a t refund, the taxpayer must complete the following: Step 1: Owner's name 'Potter, Gregory D and address 324 Bryn Mawr Dr Phone allas, Texas 75225 Step 2: ( Describe the egal Description Lease 021997 Higgins Giddings Austin Chalk 1,711 Corporation, W 0.0770000, A000900 Thomas Carruthers OCL property I Okddress or Location ! okcct # or Tax Receipt # , 8875864 Step 3: Give the tax payment Name of Taxina unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested Brazos Count 2003 1/14/04 2.26 $2.26 information axpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form 1 hereby apply for the refund of the above-described taxes and certify that a information I have given on this form is true and correct." ign here > date > 1 N you make a false statement on this application, you could be found guilty of a 11ass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: ' Tax refund determination Ile phis tax refund is [ proved ( ] Disapproved uthorized c ign her date > ( thorized officer of taxing un' for ref pplica ' ns over amount required un r Section 31.11 Tax Code gn here > date APPLICATI N FoR TAY RFFi jmn Collecting Office Brazos Cou n 300 E. Wm J. Bryan Texas Tax Office cyan Pkw) Phone Number t803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a 1 Ox refund, the Wpayer must complete the following: Step 1: owners name j Rainbow Garden Center Debra Russell and address 11650 W SH 21 Phone Bryan, Texas 77808 Step 2: Describe the Description usiness Personal Property property Tess or Location 1650 W SH-21 # or Tax Receipt # 114499 Stiep 3: Ghre the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt refund Payment Paid Reauested razos Count 2003 12/23/2003 $16.31 $14.13 Information axpayers reason for refund (attach supporting documentation): Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct" ign here > date > you make a false statement on this application, you could be found guilty of a {lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determinatio n is tax refun[ proved ( ] Disapproved Authorized ign here > date > Authorized officer of taxing u refu pplicati over amount required under $ection 31.11 Tax Code ign here > date > 3 ~j APPLICATI N FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas me " Tax Office ryan Pkwy Phone Number t803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply fora refund, the taxpayer must complete the following: Step 1: Owner's name Sebesta, Antonin & Helga A and address 3513 Myth Ln Phone College Station, Texas 77845 Step 2: Describe the Legal Description Herita a Townhomes, Block 2, Lot 7 property Address or Location - 3513 Myth Ln Acct # or Tax Receipt # R110698 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested Brazos County 2003 10/31/03 $95.70 $95.70 information fiaxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: ' Sign the form '1 hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and correct." ign here > date > if you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund ! determination this tax refund is [ Approved [ ] Disapproved Authorized offi 4 ign here date > Z.~ j j Authorized officer of taxing for ref applic ons over amount required and l0ection 31.11 Tax Code ign here > date > VOL 53 PAGE APPLICATI N FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas me Tax Office ryas Pkwy Phone Number x803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To appl fora refund, the taxpayer must complete the following: Step 1: Owner's name Taylor, Willie & Ollie and address 2620 Lochinvar Ln Phone Bryan, Texas 77802 Step 2: Describe the Legal Description Briarcrest Norhtwest # 3, Block 5, Lot 25 property Address or Location - 2620 Lochinvar Ln Acct # or Tax Receipt # R107324 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested Brazos Count 2003 12/31/03 75.17 $75.17 information Taxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form 1 hereby apply for the refund of the above-described taxes and certify that he information I have given on this form is true and correct." sign here > date > If you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination his tax refund is [ Approved [ ] Disapproved Authorized ign here date > 7i ~'~J Q Authorized officer of taxing uni refun licatio over amount required and ection 31.11 Tax Code ign here > date > VaL 53 QY3 APPLICAT N FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas Ome Tax Office 0ryan Pkwy Phone Number 803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply fora refund, the taxpayer must complete the following: Step 1: Owner's name Thornton, Payne, Watson & Kling PC and address PO Box PC Phone Bryan, texas 77805 Step 2: Describe the Legal Description Lease 021997 Higgins( Giddings( Austin Chalk)), 7711 Corporation, R 0.0333330, A000900 Thomas Carruthers OCL property Address or Location - Acct # or Tax Receipt # N8843198 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reguested Brazos Count 2003 12/31/03 1.91 $1.91 Information Taxpayer's reason for refund: Per Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form N hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and correct." ign here > date > If you make a false statement on this application, you could be found guilty of a Mass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination This tax refund is [ Approved [ ] Disapproved ize er _ Ah er date > Z ~p L ized officer of taxin u t for appli ions over amount required and n 31.11 Tax Cod re > date > Q 53B"`~ APPLICATION FOR TAX REFUND CO"cung Office N "M Collecting taut for: (taxing units) Brazos Coun Tax Office Brazos County, City of Bryan, City of Callege station 300 E. Wm J. an Pkw) Phone Number Bryan ISD, College Station ISD, F1, F2, F3, F4 City of Kurten Bryan Texas 803 979-361-4470 , MAKE PAYABLE TO: To apply for a refund, the !Mpyer must com lets the follows : Step 1: owners name a e Duddleston LTD and address 2 E Greenwa Piz Ste 701 Phone ouston, Texas 77046-1205 Stop 2: Despiption Describe the west Place, Bkx* 1, Lot 2A-1 B, Pt Of , Ams 2.307 Property ress or Location _ 504 Texas Ave S Acct# Or Tax Receipt # 42164 Stop 3: Name of Taxhw rmlt Tax Year Date of Amount Refund amt Give the tax of refund Payment Paid R t~ wm1ent razos County 2002 12/11/2002 $9,302.17 $1,424.77 information gees reason for refund (attach supporting documentation): er Supplemental # 18 for 2002 1-21-04 Step 4: !hereby apply for the refund of the above-described taxes and certify that Sign the form information I have given on this form is true and correct." n here > date > you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 8: *is tax refund is [ ed [ ] Disapproved Tax refund rthoriz determination :on he date > Othortzed officer of taxing un refund a cations amount required under on 31.11 Tax Code n here > date > Wi- 53 V I APPLICATI N FOR TAX RIMINn Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas ' Tax Office ryan Pkw) Phone Number 803 979-361-1470 Collecting taut for (taxing units) Brazos County, City of Bryan, City of Conege Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Ku ten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the followin : Step 1: Owner's name ayne Duddlesten LTD and addroee 12 E Greenwa Piz Ste 701 Phone ouston, Texas 77046-1205 Stop 2: Describe the al Deser"on uthw~est Place, Block 1, Lot 2A-1 B Pt of , Acres 2.307 Property or Location 504 Texas Ave. S # or Tax Receipt # 42164 Step 3: Give the tax Payment Name of Taxing unit Tax Year Date of Amount Refund amt fo refund Payment Paid Requested razos Count 2003 11/30/2003 $10,511.13 $3,116.13 Information aWs reason for refund (attach supporting documentation): Supplemental # 6 for 2003 1-21-04 Step 4: Sign the form hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." Ign hero > date > llf you make a false statement on this application, you could be found guilty of a Klass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination this tax refund is ( Approved [ l Disapproved ~r ion date > uftxt ed officer of taxing un refund a tions or amount required un $ac:tion 31.11 Tax Code Ign hero > date > 07 53 AG age APPLICAT ION FOR TAX REFUND Collecting Office Brazos Coun 300 E. Wm J. Bryan Texas me f Tax Office ",an Pkwy Phone Number 803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten To apply for a sx: refund, the taxpayer must complete the following: Step 1: Owner's name Wells, Marina M and address ? 17156 Jack Manning Rd Phone Hearne, Texas 77859 Step 2: Describe the property 1 Legal Description A015300 William J Lewis, Tract 54, Acres 10.137 Address or Location 17156 Jack Manning Rd Acct # or Tax Receipt # R95935 Step 3: Give the tax payment Name of Taxing unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested Brazos Count 2003 12/31/03 $774.00 $326.25 information Taxpayer's reason for refund: Per Su lemental # 6 for 2003 1-21-04 Step 4: Sign the form I "1 hereby apply for the refund of the above-described taxes and certify that the information I have given on this form is true and correct." sign here > date > If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 5: Tax refund determination This tax refund is Approved [ ] Disapproved Authorized o sign here date > Z-1J Q Authorized officer of taxing uni refund licati over amount required under' Section 31.11 Tax Code sign here > date > APPLICAT N FOR TAX RFFI imn Ong Office Brazos Coun 300 E. Wm J. Bryan Texas Tax Office ryan Pkw) Phone Number 803 979-361-4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply fora I *X refund, the taxpayer must complete the following: Step 1: Owners name Davel Communications Inc North Point Tower and address 1001 Lakeside Ave E FI 7 Phone eveland, Oh 441141151 Step 2: Describe the al Description ele hones Navasota ISD Locations property ress or Location # or Tax Receipt # 115096 Step 3: Give the tax payment Name of Taxino unit Tax Year Date of Amount Refund amt of refund Payment Paid Requested 1,3razos Count 2003 01/31/2004 $18.23 $15.03 Information taxpayers reason for refund (attach supporting documentation): P-Overpayment Step 4: Sign the form hereby apply for the refund of the above-described taxes and certify that information I have given on this form is true and correct." ign here > q darte > y you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. Step 6: ' Tax refund determination I! ~ this tax refund is Disapproved Authorized officer Fgn here > > 9~w~ date aezgi~ kutlwrlzed officer joftwd!jA for n plicati over amount required under ection 31.11 Tax gn here > date! APPLICATI N FOR TAX RFFUNn Collecting Office N Brazos Coun 300 E. Wm J. t B an Texas Tax Office 1803 yan Pkwy Phone Number 979-MI4470 Collecting tax for: (taxing units) Brazos County, City of Bryan, City of College Station Bryan ISD, College Station ISD, F1, F2, F3, F4, City of Kurten MAKE PAYABLE TO: To apply for a refund, the taxpayer must complete the following: Green Tree Servicing LLC Step 1: owners rams cNell , Brian K & Tarai A C/O Green Tree Financial and address FM 1960 W # 305 phone ouston, Texas 77090 Stop z: Describe the a Legal Description Timberlake, Space 117-T, MH Serial # FL R12A20438FD, Label # TEX0503231 Property Address or Location VTimberlake r Or Tax Receipt # Stop 3: Give the tax payment axina unit Tax Year Date of Amount Refund amt of refund Payment Paid Reauested razos Count 2002 01/23/2004 $165.06 $76.39 Information axpayees reason for refund (attach supporting documentation): PP-Overpayment Step 4: Sign the form 11 hereby apply for the refund of the above4escribed taxes and certify that information I iven on this form is true and correct." r~~ 2P ign here > lam''„ ' date > '5 you make a false statement on this application, you could be found guilty of a lass A misdemeanor or a state )all felony under Texas Pe 1 Code Section 37.10. Step 5: " Tax refund determination Ithis tax refund is [ Approved [ ] Disapproved Authorized officer gn here > d-W 1~z date > 3 Authorized officer of taxing un or refund applications over amount required under ole section 31.11 Tax Code gn here > date > BRAZOS COUNTY COMMISSIONERS' COURT ACTION FORM DEPART ENT Road and Bridge NUMBER 560010 DATE O COURT MEETING:_ March 16, 2004 ITEM: R ; uest from Wickson Creek Special Utility District to construct two 2 road bores in the riqht of way of Wheelock Hall Road for water line installations. Site is located in Precinct SOURCE iOF FUNDS: N/A RE UIREMENTS: 1) 1, 0 work will be permitted between front slope and/or back slope. 2) A 'iinstallation(s) shall be constructed in designated utility easements, if applicable. If no utility eas Ment exists, the installation(s) shall be 1) within 3-5' of and parallel to the right-of-way line and/or 2) i the case of a road bore, perpendicular to the right-of-way line. 3) I 'Olearing of brush, trees and other obstruction is necessary, it shall be the Applicant's res sibility to do so and to remove all cleared brush, trees etc. from county right-of-way. 4) itch line shall be compacted to 90% standard density ASTM-Test Method No. D-698; test shall be con Ucted by an independent geotechnical testing firm; copies of all test results shall be furnished to the (Ifice of the Brazos County Engineer. 5) Construction shall be in strict conformance to the latest Texas Manual of Uniform Traffic Control Devi s for Streets and Highways, published by the Texas Department of Transportation, and all other Stat 'and Federal laws governing utility construction. NO iES/EXCEPTIONS: AC ION R1=(ll I[=CTr:n nD At TCDAIATI</CQ• SUBMT- D BY: APPROVED BY: Commissioner Duane Peters Precinct 2 Richard F.'Vance, P.E. County Engineer This Req Date: Denied ❑ by Commissioners' Court Rarely S>iyg, County Judge ja 53 !.~G= 2?0 REQUES IFOR PROPOSED INSTALLATION IN COUNTY RIGHT-OF-WAY TO TH !(COMMISSIONERS' COURT OF BRAZOS COUNTY, TEXAS BRAZOS COUNTY COURTHOUSE BRYAN, TEXAS 77803 Formal notice i ?hereby given that (applicant) Wickson Creek S.U.D. proposes to pl ae a (type) Waterline within across X the right-of-way of (road) Wheeioo Hall Rd. in Brazos County, Texas as follows: The location lior description of the proposed installation is more fully shown by 3 copies of th drawings attached to this notice. I understand and agree that 1. The Aunty Engineer must be notified 72 hours prior to the beginning of co 9truction in order that he, or his designated inspector, may inspe I the actual installation. 2. All dap age to the roadways and rights-of-way will be repaired to their origin condition to the satisfaction of the County Engineer. 3. Braz p County reserves the right to require Applicant to relocate or lower Ony such line at no cost to Brazos County, should same beco a necessary due to widening or lowering, or other alteration of the r way or right-of-way. 4. Braz County will in no way be responsible for any damage which might~6ccur to any existing utility lines in the right-of-way. 5. The lint) will be constructed and maintained on the County right-of-way in accor Vince with the Utility Accommodation Policy which was adopted by the Texa Oepartment of Transportation on May 29, 1989. 6. The li o or lines will be constructed no less than twenty-four inches (24") lower than the lowest part of the drainage or bar ditch and the drainage is to be co tidered at least two feet (2') below the center of the roadway. 7. All sit o will be barricaded during the construction period. Constructio I'I ibf this line will begin on or after the 10thay of March 20 03 . Firm: Wi~ckson Creek S.U.D. By: Title. General Manager Address: P.o. Bo. 4756 Creel:High Hil iEstates Bryan, TX 77805 Phone: (979) 589-3030 APPROVE BY COMMISSIONERS' COURT ON - . Date Randy Sirr},County Judge ~/L G % 2, /Ziq G,e 0i J 03-0q '0y n x s Sup .-F~ ZI EDWARD L. LERO I 0 '0• ll. 590 AC. M'•, ~ I O O Itmu Loch Jill N44* _MO. 10 T a< - .~~a,e~ _._..--.mss-~►, 11C~' 1 ~CJ~ LINE, X'LMLITYEASE ENT1 cc r, TRACT I TRACT 2 5.00 A , ' 5.00 AC. W 6koo63 N W I ~W 1 9 v fin: I ~ ~Q I tpi W co c P TRACT 3 d 5.00 AC. , \ Ll~ 370 -Q 37-8 89' i--§44 ~53~ W - 112D 67`~.a. IdUTIUTY EASEMENT' I J o w ' N TRACT 4 m z ~ 8.563 AC. S~ ~.I ~1TILITY FAStTlE1'1~. _J'.3'.r1~. ••E..-l.12Q.3.Z.~- - vOy ~ d I W LU s C. N Z DO TRACT 5 LU 8.500 AC. P o - ~ S44053'.9 - ' + I- ~'-j N 10 UTILITY EASEMENT • ~I \ Lu X. w c•- 4 TRACT 6 m ~ •F o' 8.5 0 AC. J , a ' 3 V) - 0 ° Rip o 13 to _ 53 ~5 e`-1 19-E Z 00TY EASEMENT • • - ^ ~ 0 116 TRACT 7 z 8.50 AC. a 'D cc i 5 t\ 1 c ' 1 1 19 R5 ` _ i`±IOUTILITYEASEMENT•••°-'`~- TRACT 8 8.50 AC. 20'UT1 ItY EASEMENT., '~r• # lF--- BRAZOS COUNTY COMMISSIONERS' COURT ACTION FORM DEPART ENT Road and Bridge NUMBER 560010 DATE OR COURT MEETING: March 16, 2004 ITEM: R uest from Verizon Communications to construct feet in then north riaht of wav of B east for a ct 1. ble install ntersection ne SOURCEIIOF FUNDS: N/A UIR ENTS: 1) 0 work will be permitted between front slope and/or back slope. 2) A I installation(s) shall be constructed in designated utility easements, if applicable. If no utility eas ent exists, the installation(s) shall be 1) within 3-5' of and parallel to the right-of-way line and/or 2) i the case of a road bore, perpendicular to the right-of-way line. 3) I (Clearing of brush, trees and other obstruction is necessary, it shall be the Applicant's resp sibility to do so and to remove all cleared brush, trees etc. from county right-of-way. 4) Itch line shall be compacted to 90% standard density ASTM-Test Method No. D-698; test shall be con Acted by an independent geotechnical testing firm; copies of all test results shall be furnished to the Mice of the Brazos County Engineer. 5) "nstruction shall be in strict conformance to the latest Texas Manual of Uniform Traffic Control Devi ' s for Streets and Highways, published by the Texas Department of Transportation, and all other Stat and Federal laws governing utility construction. PTIONS: 'ed cable is to be installed in a very old subdivision with no utility ; therefore, cable placement will be in the back slope of the road right of UESTED OR AL SUBM.LTT BY: Richard F Vance, P.E. County E ineer 0004-024'. This Req ost is Approved Date: APPROVED BY: Commissioner Eric Cald ell Precinct 1 / Denied[] by Commissioners' Court County Judge 3's?= 53 o a ~3 veri7on 4, 2004 Richa Vance Brazo $County Engineering Office Count ' Engineer 2617 V. Hwy. 21 Bryan, ','rX 77803 Dear IW Vance: AGRMNTS 24 BURIED CABLE Engineering & Planning 301 Industrial Blvd. Bryan, TX 77803 I to 'od are From ED-135 and a work location sketch showing the location of our )o ';0d communications cable line on county roads in Brazos County at College iori, Texas. This 'rk is to be completed on Work Order 5416 3PO02VQ which is scheduled for March 29, 2004. If you have any questions concerning this work, please contact Charl d Allen at our office in Bryan, telephone 979-821-4761 within 15 days so that we may a plain of modify our proposal, otherwise, it is understood that this proposal is appro% 'cad. Anc1"J iDv->tp-ld Sincer ly, n /Z ~ 04W~f - Network Engineer JA:ec !9,/1..95 ~u3 i V v.4E: 2Ir .~u$ 0, l /cr .eft e` ~C' d✓p L.~T /G S o 756 (E y tae v e✓ 0 S / j/ry L~ T ara 'o k-0, li(] VOL 53 I ~9 VER~ZON COMMUNICATION To ATT F a T Commissioner's Court of Brazos County ON COUNTY JUDGE: Notice of Line Installation March 4, 2004 notice is hereby given that VERIZON COMMUNICATIONS will construct iunication line within the right-of-way of a County Road in Brazos County, is follows: At a intersection of Cheyenne Drive and Butte Drive a buried cable will !!be placed 6' in the north ROW of Butte Drive extending east for a dis Once of 528 feet at a minimum depth of 30". Th jlocation and description of this line and associated appurtenances is more ly shown by two (2) copies of drawings attached to this notice. The line will be , onstructed and maintained on the County Road right-of-way in accord nce with governing laws. No ithstanding any other provision contained herein, it is expressly under Ood that the tender of this notice by the Verizon Southwest Incorporated does n constitute a waiver, surrender, abandonment or impairment of any properbf rights, franchise, easement, license, authority, permission, privilege or right n Nv granted by law or may be granted in the future and any provision or provisi ids so construed shall be null and void. n of this line will begin on or after March 29, 2004. 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